Healing Hope Behavioral Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HEALING HOPE BEHAVIORAL CLINIC LLC

Practice address

733 Highway 287 N Ste 403
Mansfield, TX 76063-3865

Phone

(469) 225-3670

Fax

(817) 549-7630

NPI assigned

Jun 11, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eunice Nsofor, PMHNP-BCNPI 1821577354

Title

Credential/Billing

Phone

(469) 225-3670

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eunice Onyinye Nsofor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
  • NPI 1821577354

  NM

  Medicare reassignment NPD Authorized official
• Nonye Nwokoro

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
  • NPI 1811544000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1952926321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 HIGHWAY 287 N STE 403",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633865",
            "telephone_number": "469-225-3670",
            "fax_number": "817-549-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 HIGHWAY 287 N STE 403",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633865",
            "telephone_number": "469-225-3670",
            "fax_number": "817-549-7630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Mountain Road Pl NE Ste 4642",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107845",
            "country_code": "US",
            "telephone_number": "469-225-3670",
            "fax_number": "817-549-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING HOPE BEHAVIORAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "NSOFOR",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "CREDENTIAL/BILLING",
        "authorized_official_telephone_number": "469-225-3670",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414665601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mansfield",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "733 Highway 287 N Ste 403",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760633865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.