Provider Demographics
NPI:1164188868
Name:PSYCHED BEHAVIORAL HEALTH PLLC
Entity Type:Organization
Organization Name:PSYCHED BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEBA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABU-MAIZAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:817-233-3452
Mailing Address - Street 1:2201 N COLLINS ST STE 180
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-2609
Mailing Address - Country:US
Mailing Address - Phone:817-233-3452
Mailing Address - Fax:
Practice Address - Street 1:2201 N COLLINS ST STE 180
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-2609
Practice Address - Country:US
Practice Address - Phone:817-233-3452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty