HOLISTIC BEHAVIORAL SOLUTIONS INC (NPI# 1174097661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174097661 |
| Entity Type | Organization |
| Organization Name | HOLISTIC BEHAVIORAL SOLUTIONS INC |
| Practice Address |
5532 Grenada Dr Fort Worth TX 76119-8501 |
| Practice Telephone | 4694456366 |
| Mailing Telephone | 4694456366 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | FARIDY MAYA MOMBELEUR (CEO) |
| Authorized Official Telephone | 2142134303 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
5532 GRENADA DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-8501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326681354 | Evolving Mind Solutions, LLC | Clinic/Center | 4200 S Hulen St Ste 668, Fort Worth, TX 76109-4997 | 2019-10-22 |
| 1629565189 | Mind Above Matter LLC | Clinic/Center | 2400 E Seminary Dr, Fort Worth, TX 76119-5502 | 2018-04-19 |
| 1952683591 | Empirica Psychiatric Services LLC | Clinic/Center | 1424 Summit Ave., Fort Worth, TX 76102 | 2011-09-09 |
| 1225656747 | I Catrena Boswell, Pllc | Clinic/Center | 4200 S Hulen St Ste 682, Fort Worth, TX 76109-7905 | 2020-07-10 |
| 1487215737 | Clearfork Academy | Clinic/Center | 4255 Bryant Irvin Rd, Fort Worth, TX 76109-4233 | 2019-06-27 |
| 1619404506 | Irons Health Counseling Services In | Clinic/Center | 9500 Ray White Rd Ste 200, Fort Worth, TX 76244-9105 | 2017-05-22 |
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|---|---|---|---|---|
| 1053911776 | Wellness Work Counseling Service Pllc | Clinic/Center | 3016 Polar Ln Ste 207, Cedar Park, TX 78613-3039 | 2020-10-30 |
| 1942807250 | Chart Counseling Services Pllc | Clinic/Center | 3900 S Stonebridge Dr Ste 203, Mckinney, TX 75070-8023 | 2020-10-08 |
| 1114548831 | Integral Counseling and Wellness, LLC | Clinic/Center | 1846 Lockhill Selma Rd Ste 104, San Antonio, TX 78213-1551 | 2020-05-05 |
| 1679100986 | Sarah Douglas Cox, Lcsw Pllc | Clinic/Center | 9922 Caleb Way, Missouri City, TX 77459-6472 | 2020-03-25 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1790335271 | Therathrive LLC | Clinic/Center | 601 Strada Cir Ste 102, Mansfield, TX 76063-3219 | 2019-09-16 |
| 1932754363 | Proactive Behavior & Solutions | Clinic/Center | 2626 Scenic Point, Arlington, TX 76006 | 2019-08-02 |
| 1073175576 | Remuda Ranch Counseling Services | Clinic/Center | 10333 Remuda View Dr, San Antonio, TX 78254-1759 | 2019-07-03 |
| 1366008583 | Progressive Counseling Services | Clinic/Center | 5820 34th St Apt 271, Lubbock, TX 79407-3352 | 2019-05-13 |
| 1053878355 | Mainstay Youth Services LLC | Clinic/Center | 7919 West Rd, Houston, TX 77064-8042 | 2019-02-23 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.