| Holistic Behavioral Solutions Inc | |
|
5532 Grenada Dr Fort Worth TX 76119-8501 | |
| (469) 445-6366 | |
| Not Available |
| Full Name | Holistic Behavioral Solutions Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 5532 Grenada Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Faridy Maya Mombeleur (CEO) |
| Authorized Official Contact | 2142134303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Behavioral Solutions Inc 5532 Grenada Dr Fort Worth TX 76119-8501 Ph: (469) 445-6366 | Holistic Behavioral Solutions Inc 5532 Grenada Dr Fort Worth TX 76119-8501 Ph: (469) 445-6366 |
| NPI Number | 1174097661 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 01/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174097661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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