| Hillhaven Hollow | |
|
1174 County Road 441 Stockdale TX 78160-7028 | |
| (830) 344-7396 | |
| Not Available |
| Full Name | Hillhaven Hollow |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1174 County Road 441, Stockdale, Texas |
| Authorized Official Name and Position | Miranda Keri Velasquez (OWNER/PROVIDER) |
| Authorized Official Contact | 8303447396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillhaven Hollow 1174 County Road 441 Stockdale TX 78160-7028 Ph: (830) 344-7396 | Hillhaven Hollow 1174 County Road 441 Stockdale TX 78160-7028 Ph: (830) 344-7396 |
| NPI Number | 1922796879 |
|---|---|
| Provider Enumeration Date | 04/28/2023 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922796879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |