Provider Demographics
NPI:1417688409
Name:TEXAS BEHAVIORAL HEALTH AUTHORITY
Entity type:Organization
Organization Name:TEXAS BEHAVIORAL HEALTH AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RHINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-920-0496
Mailing Address - Street 1:12019 BAILEY HLS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-4424
Mailing Address - Country:US
Mailing Address - Phone:210-920-0496
Mailing Address - Fax:
Practice Address - Street 1:12019 BAILEY HLS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-4424
Practice Address - Country:US
Practice Address - Phone:210-920-0496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management