Provider Demographics
NPI:1336863513
Name:NOVELTY BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:NOVELTY BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:210-778-9911
Mailing Address - Street 1:1409 S 9TH AVE STE 143
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5527
Mailing Address - Country:US
Mailing Address - Phone:956-777-0483
Mailing Address - Fax:
Practice Address - Street 1:1409 S 9TH AVE STE 143
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5527
Practice Address - Country:US
Practice Address - Phone:956-777-0483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty