Provider Demographics
NPI:1366231532
Name:HOLISTIC BEHAVIORAL HEALTH OF TEXAS
Entity type:Organization
Organization Name:HOLISTIC BEHAVIORAL HEALTH OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BHARATH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-316-2932
Mailing Address - Street 1:4316 JIM WEST ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5202
Mailing Address - Country:US
Mailing Address - Phone:832-316-2932
Mailing Address - Fax:
Practice Address - Street 1:3411 CEDAR KNOLLS DR STE C
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2474
Practice Address - Country:US
Practice Address - Phone:281-532-5462
Practice Address - Fax:877-797-5317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health