Provider Demographics
NPI:1861375420
Name:THE FOUNDATION FOR COMMUNITY HEALTH AND WELLNESS
Entity type:Organization
Organization Name:THE FOUNDATION FOR COMMUNITY HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MELBA
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HILLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:409-673-4715
Mailing Address - Street 1:675 CALHOUN AVE
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-1169
Mailing Address - Country:US
Mailing Address - Phone:409-673-4715
Mailing Address - Fax:409-673-4715
Practice Address - Street 1:2365 IH 10 E STE 4
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1344
Practice Address - Country:US
Practice Address - Phone:409-673-4715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty