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General NPI Number Information
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NPI Number | 1366231532
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Entity Type | Organization
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Legal Business Name | HOLISTIC BEHAVIORAL HEALTH OF TEXAS
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 3411 CEDAR KNOLLS DR STE C
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City | KINGWOOD
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State | TX
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Zip | 77339-2474
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Country | US
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Telephone | 281-532-5462
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Fax | 877-797-5317
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Provider Business Mailing Address
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Address Line | 4316 JIM WEST ST
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City | BELLAIRE
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State | TX
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Zip | 77401-5202
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Country | US
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Telephone | 832-316-2932
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BHARATH RAJ
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Credential |
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Telephone | 832-316-2932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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