MEDICARE: SKY HEART BEHAVIORAL HEALTH SERVICES, 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	:	1518839455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKY HEART BEHAVIORAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 601
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-0601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16510 NORTHCHASE DR # 123
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-3302
Country	:	US
Telephone Number	:	919-802-7954
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	TASHA L JONES
Credential	:
Telephone Number	:	919-802-7954

Provider Enumeration Date	:	09/20/2025
Last Update Date	:	10/16/2025

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