Provider Demographics
NPI:1104624071
Name:TEXAS HOUSE OF HOPE
Entity type:Organization
Organization Name:TEXAS HOUSE OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-301-2844
Mailing Address - Street 1:PO BOX 15283
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76119-0283
Mailing Address - Country:US
Mailing Address - Phone:682-301-2844
Mailing Address - Fax:
Practice Address - Street 1:4800 WELLESLEY AVE STE A
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-6149
Practice Address - Country:US
Practice Address - Phone:682-301-2844
Practice Address - Fax:972-975-5061
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRUCITY SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp