MEDICARE: GHALO MENTAL HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1689516999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GHALO MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	1125 CYPRESS STATION DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3054
Country	:	US
Telephone Number	:	281-704-4194
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 CYPRESS STATION DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3054
Country	:	US
Telephone Number	:	281-704-4194
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CALEB IGHALO
Credential	:
Telephone Number	:	281-704-4194

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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