Provider Demographics
NPI:1164095584
Name:HECEN HEALTHCARE LLC
Entity Type:Organization
Organization Name:HECEN HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:UGO
Authorized Official - Last Name:UANGBAOJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-727-8833
Mailing Address - Street 1:1420 ROBINSON RD STE 220
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2848
Mailing Address - Country:US
Mailing Address - Phone:214-727-8833
Mailing Address - Fax:
Practice Address - Street 1:1420 ROBINSON RD STE 220
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-2848
Practice Address - Country:US
Practice Address - Phone:214-727-8833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health