Provider Demographics
NPI:1518407733
Name:HEALING WITH LOVE
Entity Type:Organization
Organization Name:HEALING WITH LOVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEAUJEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-258-9054
Mailing Address - Street 1:24706 FM 2978 RD
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3140
Mailing Address - Country:US
Mailing Address - Phone:281-258-9054
Mailing Address - Fax:
Practice Address - Street 1:24706 FM 2978 RD
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3140
Practice Address - Country:US
Practice Address - Phone:281-258-9054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health