Provider Demographics
NPI:1669343026
Name:SAMSON BEHAVIOR CENTER LLC
Entity type:Organization
Organization Name:SAMSON BEHAVIOR CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ST-JUSTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-302-8199
Mailing Address - Street 1:25807 WESTHEIMER PARKWAY, SUITE 300
Mailing Address - Street 2:PMB 4000
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494
Mailing Address - Country:US
Mailing Address - Phone:929-302-8199
Mailing Address - Fax:
Practice Address - Street 1:18036 PARK ROW APT 3606
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-8150
Practice Address - Country:US
Practice Address - Phone:929-302-8199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty