Provider Demographics
NPI:1225324403
Name:HOLISTIC VIEW THERAPY INC
Entity Type:Organization
Organization Name:HOLISTIC VIEW THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:YADIRA
Authorized Official - Middle Name:DENISSE
Authorized Official - Last Name:MANCHA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:956-802-2891
Mailing Address - Street 1:1922 E GRIFFIN PKWY STE G
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3110
Mailing Address - Country:US
Mailing Address - Phone:956-802-2891
Mailing Address - Fax:
Practice Address - Street 1:1922 E GRIFFIN PKWY STE G
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3110
Practice Address - Country:US
Practice Address - Phone:956-802-2891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-25
Last Update Date:2011-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112481251E00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1316100340OtherNPPES