Provider Demographics
NPI:1225192651
Name:HOLISTIC MIND INSTITUTE INC.
Entity Type:Organization
Organization Name:HOLISTIC MIND INSTITUTE INC.
Other - Org Name:MORNING DOVE DAYCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-782-5525
Mailing Address - Street 1:1210 W EXPRESSWAY 83
Mailing Address - Street 2:STE 4
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-6516
Mailing Address - Country:US
Mailing Address - Phone:956-782-5525
Mailing Address - Fax:956-782-5500
Practice Address - Street 1:1210 W EXPRESSWAY 83
Practice Address - Street 2:STE 4
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-6516
Practice Address - Country:US
Practice Address - Phone:956-782-5525
Practice Address - Fax:956-782-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116787261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care