Provider Demographics
NPI:1548030190
Name:CONCORD BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:CONCORD BEHAVIORAL HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:UKONU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-275-2814
Mailing Address - Street 1:7007 BALLINGER RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4058
Mailing Address - Country:US
Mailing Address - Phone:713-292-7361
Mailing Address - Fax:713-771-3801
Practice Address - Street 1:9600 FONDREN RD STE B3
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3682
Practice Address - Country:US
Practice Address - Phone:713-292-7361
Practice Address - Fax:713-771-3801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty