Provider Demographics
NPI:1710365069
Name:THE ACADEMY AT MHA
Entity type:Organization
Organization Name:THE ACADEMY AT MHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRETOR
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:MECH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-208-9500
Mailing Address - Street 1:7604 SAN JACINTO PL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3237
Mailing Address - Country:US
Mailing Address - Phone:972-208-9500
Mailing Address - Fax:972-208-6500
Practice Address - Street 1:7604 SAN JACINTO PL
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3237
Practice Address - Country:US
Practice Address - Phone:972-208-9500
Practice Address - Fax:972-208-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9499261QM0850X, 261QM0855X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health