Provider Demographics
NPI:1518598796
Name:FIG TREE BEHAVIORAL WELLNESS, LLC
Entity Type:Organization
Organization Name:FIG TREE BEHAVIORAL WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,APRN,PMHNP-BC
Authorized Official - Phone:956-374-5578
Mailing Address - Street 1:2211 W LINCOLN ST # 313
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-5921
Mailing Address - Country:US
Mailing Address - Phone:956-374-5578
Mailing Address - Fax:956-474-2753
Practice Address - Street 1:2211 W LINCOLN ST # 313
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-5921
Practice Address - Country:US
Practice Address - Phone:956-374-5578
Practice Address - Fax:956-474-2753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX409892301Medicaid