Provider Demographics
NPI:1821712936
Name:MENTAL HEALTH RESOURCE CENTER OF TEXAS
Entity Type:Organization
Organization Name:MENTAL HEALTH RESOURCE CENTER OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THRERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:281-303-7093
Mailing Address - Street 1:1915 N FRAZIER ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1243
Mailing Address - Country:US
Mailing Address - Phone:936-494-4357
Mailing Address - Fax:936-494-4358
Practice Address - Street 1:1915 N FRAZIER ST STE 102
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1243
Practice Address - Country:US
Practice Address - Phone:936-494-4357
Practice Address - Fax:936-494-4358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)