| Organization Name: | GERO-PSYCHIATRIC BEHAVIORAL & MENTAL HEALTH CONSULTANTS |
| NPI Number: | 1356657464 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRIETTA VALAIR EVANS (SOLE OWNER/OPERATOR) |
| Mailing Address: | 20902 Kransburg Ridge Dr Porter |
| State: | TX US |
| Postal Code: | 773653584 |
| Phone Number: | 8324928207 |
| Fax Number: | 8324425044 |
| NPI Enumeration Date: | 08/26/2010 |
| NPI Last Update Date: | 02/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |