Provider Demographics
NPI:1205720281
Name:HEALING GROUND BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:HEALING GROUND BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALIFIED MENTAL HEALTH PROFESSIONA
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER SOCIAL WORKER
Authorized Official - Phone:956-970-1342
Mailing Address - Street 1:1403 GROUSE AVE
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-9340
Mailing Address - Country:US
Mailing Address - Phone:956-970-1342
Mailing Address - Fax:
Practice Address - Street 1:1403 GROUSE AVE
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-9340
Practice Address - Country:US
Practice Address - Phone:956-970-1342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health