Provider Demographics
NPI:1265109557
Name:VALIANT PSYCHOLOGY, PLLC
Entity type:Organization
Organization Name:VALIANT PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-318-0111
Mailing Address - Street 1:2300 WOODFOREST PKWY N
Mailing Address - Street 2:SUITE 250 #420
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316
Mailing Address - Country:US
Mailing Address - Phone:360-318-0111
Mailing Address - Fax:360-318-0113
Practice Address - Street 1:205 S CHAPARRAL BEND DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316
Practice Address - Country:US
Practice Address - Phone:360-318-0111
Practice Address - Fax:360-318-0113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health