Provider Demographics
NPI:1093497364
Name:HTL MENTAL HEALTH
Entity Type:Organization
Organization Name:HTL MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HUY
Authorized Official - Middle Name:TRONG
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:651-278-6868
Mailing Address - Street 1:16615 LIVE OAK CANYON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7886
Mailing Address - Country:US
Mailing Address - Phone:651-278-6868
Mailing Address - Fax:
Practice Address - Street 1:16615 LIVE OAK CANYON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7886
Practice Address - Country:US
Practice Address - Phone:651-278-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty