Grand Vista Behavioral Health Center LLC

NPI #1366182164 in Richmond, Texas

Provider Information

NPI Number: 1366182164
Entity Type: Organization
Organization Name: Grand Vista Behavioral Health Center LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 30, 2022
Last Updated: May 1, 2022

Practice Location

Address: 9711 S MASON RD STE 125-215
City: Richmond
State: Texas
ZIP Code: 77407-7167
Phone: (346) 933-2463

Authorized Official

Name: BLESSING UCHECHUKWU SMITH, APRN
Title: PMHNP-BC
Phone: (832) 352-0845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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