Provider Demographics
NPI:1740573740
Name:HEALING PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:HEALING PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-497-8230
Mailing Address - Street 1:100 YALE COURT
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-8480
Mailing Address - Country:US
Mailing Address - Phone:214-497-8230
Mailing Address - Fax:
Practice Address - Street 1:2700 TIBBETS DR
Practice Address - Street 2:SUITE 406
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-5928
Practice Address - Country:US
Practice Address - Phone:817-571-2899
Practice Address - Fax:817-571-9879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8470261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)