Provider Demographics
NPI:1780492637
Name:HEAD STRONG & READY TEXAS
Entity type:Organization
Organization Name:HEAD STRONG & READY TEXAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:945-218-5800
Mailing Address - Street 1:2650 FM 407 E STE 145
Mailing Address - Street 2:PMB 159
Mailing Address - City:BARTONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226
Mailing Address - Country:US
Mailing Address - Phone:945-218-5800
Mailing Address - Fax:
Practice Address - Street 1:5755 OBERLIN DR STE 203
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1786
Practice Address - Country:US
Practice Address - Phone:858-362-5331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty