Provider Demographics
NPI:1942858592
Name:HEALING BRANCHES PASTORAL CARE AND COUNSELING
Entity Type:Organization
Organization Name:HEALING BRANCHES PASTORAL CARE AND COUNSELING
Other - Org Name:HEALING BRANCHES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-213-2366
Mailing Address - Street 1:11615 ANGUS RD STE 104C
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4146
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:113 FOUR STAR DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-2518
Practice Address - Country:US
Practice Address - Phone:512-213-2366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center