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General NPI Number Information
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NPI Number | 1407745458
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Entity Type | Organization
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Legal Business Name | HOLISTIC HEALING PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2401 FOUNTAIN VIEW DRIVE
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City | HOUSTON
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State | TX
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Zip | 77057
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Country | US
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Telephone | 425-800-6454
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Fax |
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Provider Business Mailing Address
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Address Line | 5614 W GRAND PKWY S STE 102
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City | RICHMOND
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State | TX
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Zip | 77406-5820
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Country | US
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Telephone | 425-800-6454
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MR. GABRIEL OBU
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Credential |
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Telephone | 916-299-0958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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