Healthcare Provider Details

I. General information

NPI: 1063345049
Provider Name (Legal Business Name): HEALUP HOLISTIC EMOTIONAL SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 COMMERCIAL CIR STE 400
CONROE TX
77304-3822
US

IV. Provider business mailing address

108 COMMERCIAL CIR STE 400
CONROE TX
77304-3822
US

V. Phone/Fax

Practice location:
  • Phone: 832-398-0712
  • Fax:
Mailing address:
  • Phone: 832-398-0712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TANESHU COLLIER
Title or Position: CEO
Credential: LMSW
Phone: 832-398-0712