Provider Demographics
NPI:1184196651
Name:HEALING FROM WITHIN PLLC
Entity Type:Organization
Organization Name:HEALING FROM WITHIN PLLC
Other - Org Name:HEALING FROM WITHIN PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:MCCLAIN
Authorized Official - Last Name:FNP
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:713-870-5393
Mailing Address - Street 1:3604 FAIRMONT PKWY STE A2
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-3065
Mailing Address - Country:US
Mailing Address - Phone:346-219-6263
Mailing Address - Fax:713-513-5590
Practice Address - Street 1:3604 FAIRMONT PKWY STE A2
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3065
Practice Address - Country:US
Practice Address - Phone:346-219-6263
Practice Address - Fax:713-513-5590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty