| Connecting Mind Body & Earth Pllc | |
|
2222 Treasure Mountain Dr Spring TX 77388-4864 | |
| (713) 925-7742 | |
| Not Available |
| Full Name | Connecting Mind Body & Earth Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2222 Treasure Mountain Dr, Spring, Texas |
| Authorized Official Name and Position | Donyell Davis (OWNER) |
| Authorized Official Contact | 7139257742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecting Mind Body & Earth Pllc 2222 Treasure Mountain Dr Spring TX 77388-4864 Ph: (713) 925-7742 | Connecting Mind Body & Earth Pllc 2222 Treasure Mountain Dr Spring TX 77388-4864 Ph: (713) 925-7742 |
| NPI Number | 1932932084 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 09/07/2024 |
| Certification Date | 09/07/2024 |
| Medicare PECOS PAC ID | 5799226650 |
|---|---|
| Medicare Enrollment ID | O20240918002999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932932084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Donyell Monique Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447002977 PECOS PAC ID: 5395288062 Enrollment ID: I20240621003644 |
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