Healthcare Provider Details

I. General information

NPI: 1477340982
Provider Name (Legal Business Name): HEALTHY MIND COUNSELING & ABA CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 W EDINBURG AVE
ELSA TX
78543
US

IV. Provider business mailing address

513 W EDINBURG AVE
ELSA TX
75843
US

V. Phone/Fax

Practice location:
  • Phone: 956-262-9601
  • Fax:
Mailing address:
  • Phone: 956-262-9601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SANDRA GARZA-OCHOA
Title or Position: SOLE OWNER, PHD, LPC,CSC, BCBA
Credential: PHD,LPC, CSC,BCBA
Phone: 956-975-9109