MEDICARE: HEILSA MENTAL HEALTH, LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1457217655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEILSA MENTAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	25700 INTERSTATE 45 # 4119
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1364
Country	:	US
Telephone Number	:	832-802-8422
Fax Number	:

Provider Business Practice Location Address
First Line	:	25700 INTERSTATE 45 # 4119
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77386-1364
Country	:	US
Telephone Number	:	832-802-8422
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KASSANDRA FLORES
Credential	:	LPC
Telephone Number	:	832-802-8422

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	02/08/2026

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