Provider Demographics
NPI:1225373244
Name:BLUE CLOUDS HEALTH CARE, INC
Entity Type:Organization
Organization Name:BLUE CLOUDS HEALTH CARE, INC
Other - Org Name:TREAT NOW FAMILY CLINIC AND PSYCHIATRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PMHNP-BC, FNP-BC
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:817-779-1585
Mailing Address - Street 1:729 N FIELDER RD # A
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-5802
Mailing Address - Country:US
Mailing Address - Phone:817-633-3400
Mailing Address - Fax:817-633-3401
Practice Address - Street 1:729 N FIELDER RD # A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-5802
Practice Address - Country:US
Practice Address - Phone:817-633-3400
Practice Address - Fax:817-633-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-02
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363LF0000X, 363LP0808X
TX843050363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX319895401Medicaid
264168YMKGMedicare PIN