Hillhaven Hollow Pllc

NPI #1922796879 in Stockdale, Texas

Provider Information

NPI Number: 1922796879
Entity Type: Organization
Organization Name: Hillhaven Hollow Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 28, 2023
Last Updated: Dec 11, 2024

Practice Location

Address: 1174 COUNTY ROAD 441
City: Stockdale
State: Texas
ZIP Code: 78160-7028
Phone: (830) 344-7396

Authorized Official

Name: MIRANDA KERI VELASQUEZ
Title: OWNER/PROVIDER
Phone: (830) 344-7396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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