Provider Demographics
NPI:1417790635
Name:THE HEALING BEACON CENTER PLLC
Entity type:Organization
Organization Name:THE HEALING BEACON CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:REHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-301-1100
Mailing Address - Street 1:1570 PRAIRIE GROVE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-4247
Mailing Address - Country:US
Mailing Address - Phone:713-301-1100
Mailing Address - Fax:
Practice Address - Street 1:1570 PRAIRIE GROVE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-4247
Practice Address - Country:US
Practice Address - Phone:713-301-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty