PROVIDENCE MEDICAL & MENTAL HEALTH CLINIC
NPI 1790061315
Clinic/Center in Houston, TX

Active since October 27, 2011CLIA 45D2026515 · Waiver
13155 WESTHEIMER RD STE 133, HOUSTON, TX 77077(281) 920-0344(281) 920-0263 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Medical & Mental Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE MEDICAL & MENTAL HEALTH CLINIC (NPI 1790061315) is a healthcare organization registered as a clinic/center in Houston, Texas and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through June 30, 2027, maintains a secondary practice location in Houston, and lists Esther Akunna Eke-huber, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1790061315
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE WELLNESS INC
Location Address13155 WESTHEIMER RD STE 133Houston, TX 77077-5529
Mailing Address13155 Westheimer Road, Suite #133Houston, TX 77077 · (281) 920-0344 · Fax (281) 920-0263
Fax(281) 920-0263
Organization SubpartNo
Authorized OfficialEsther Akunna Eke-huberNurse Practitioner · (281) 920-0344
Enumeration DateOctober 27, 2011
Last NPPES UpdateMay 13, 2024
NPPES CertifiedMay 12, 2024
NPI 1790061315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in TX · 801287323
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
13155 WESTHEIMER RD STE 133, Houston, TX 77077

Other Names 1

Doing Business AsProvidence Medical & Mental Health Clinic

Secondary Practice Location 1

Location 19898 Bissonnet St Ste 350Houston, TX 77036-8025 · Phone (281) 920-0344

Other Identifiers 6

Medicaid363LP0808XTX
OtherAPRN11015237FL · Florida Board Of Nursing
Medicaid363LA2200XTX
OtherAP118542TX · Texas Board Of Nursing
Other118542TX · Texas Board Of Nursing
Other78132NM · New Mexico Board Of Nursing

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2026515

Providence Wellness Center, LLC · Houston, TX
Active · expires Jun 30, 2027
CLIA Number45D2026515
Laboratory TypePractitioner Other
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorEsther A. Eke-Huber
Laboratory Phone(281) 920-0344
Laboratory LocationProvidence Wellness Center, LLC13155 Westheimer Road Suite #133, Houston, TX 77077
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Wellness Inc's NPI number?

The NPI number for Providence Wellness Inc is 1790061315. It was assigned to this organization in the NPPES registry on October 27, 2011. The provider is doing business as Providence Medical & Mental Health Clinic.

Where is Providence Wellness Inc located?

Providence Wellness Inc is located at 13155 Westheimer Rd Ste 133, Houston, TX 77077. The listed phone number is (281) 920-0344.

What is Providence Wellness Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Providence Wellness Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2026515) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Providence Wellness Inc was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.