Provider Demographics
NPI:1407745458
Name:HOLISTIC HEALING PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:HOLISTIC HEALING PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-299-0958
Mailing Address - Street 1:5614 W GRAND PKWY S STE 102
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5820
Mailing Address - Country:US
Mailing Address - Phone:425-800-6454
Mailing Address - Fax:
Practice Address - Street 1:2401 FOUNTAIN VIEW DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057
Practice Address - Country:US
Practice Address - Phone:425-800-6454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty