Provider Demographics
NPI:1932393907
Name:HEIDE GRANT
Entity Type:Organization
Organization Name:HEIDE GRANT
Other - Org Name:HOPE BEHAVIOR HEALTH CENTER TRI COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:HEIDE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPC
Authorized Official - Phone:903-517-6101
Mailing Address - Street 1:3605 NE LOOP 286
Mailing Address - Street 2:STE 900
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460
Mailing Address - Country:US
Mailing Address - Phone:903-715-8732
Mailing Address - Fax:903-782-9082
Practice Address - Street 1:3605 NE LOOP 286
Practice Address - Street 2:STE 900
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460
Practice Address - Country:US
Practice Address - Phone:903-715-8732
Practice Address - Fax:903-782-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18698101YM0800X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty