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THE INNER MIND LLC NPI 1972126803


NPI Information

NPI: 1972126803
Provider Name: THE INNER MIND LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
440 COBIA DR STE 1301
KATY, TX
ZIP 77494
Phone: (734) 210-0005
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THE INNER MIND LLC is a counselor in Katy, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. THE INNER MIND LLC NPI is 1972126803. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

440 COBIA DR STE 1301
KATY, TX
ZIP 77494-159
Phone: (734) 210-0005
Fax: (713) 583-0990

The provider's authorized official is Andranique Goodman .
The authorized official title is Owner and has the following contact phone number (832) 378-1526.

The enumeration date for this NPI number is 5/27/2020 and was last updated on 5/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3103K00000XBehavior AnalystNo
4101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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