THADDEUS GIBSON
NPI 1699394320
Community Based Residential Treatment Facility, Mental Illness in Houston, TX
Active since April 13, 2020
About Thaddeus Gibson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THADDEUS GIBSON (NPI 1699394320) is an individual community based residential treatment facility, mental illness provider in Houston, Texas and active in the NPI registry since April 2020.
NPPES Registry Identity
NPI1699394320
Entity TypeIndividualMale
Primary Taxonomy320800000X
Provider Legal NameTHADDEUS GIBSON
Location Address15638 WESTERN SKIES DRHouston, TX 77086-1169
Mailing Address15638 Western Skies DrHouston, TX 77086-1169 · (832) 756-3681
Phone(832) 756-3681
Sole ProprietorYes
Enumeration DateApril 13, 2020
NPPES CertifiedApril 13, 2020
✔ NPI 1699394320 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 4
★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
15638 WESTERN SKIES DR, Houston, TX 77086
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699394320, enumerated as an "individual" on April 13, 2020.
The provider is located at 15638 WESTERN SKIES DR HOUSTON, TX 77086 and the phone number is (832) 756-3681.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
