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MIND BODY & SOUL NPI 1063728251


NPI Information

NPI: 1063728251
Provider Name: MIND, BODY & SOUL
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1400 BROADFIELD BLVD STE 200
HOUSTON, TX
ZIP 77084
Phone: (281) 906-7134
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MIND, BODY & SOUL is a mental health counselor in Houston, TX. MIND, BODY & SOUL NPI is 1063728251. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 BROADFIELD BLVD STE 200
HOUSTON, TX
ZIP 77084-162
Phone: (281) 906-7134
Fax: (281) 612-1160

The provider's authorized official is Tameka Nichole Birts .
The authorized official title is Chief Operating Officer and has the following contact phone number (770) 873-0087.

The enumeration date for this NPI number is 8/25/2010 and was last updated on 3/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
4251B00000XCase ManagementNo
5251S00000XCommunity/Behavioral HealthNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.