Gold Mind Psychiatry | |
11754 Giovanni Ln Richmond TX 77406-1535 | |
(281) 901-0044 | |
(281) 572-8631 |
Full Name | Gold Mind Psychiatry |
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Speciality | Nurse Practitioner |
Location | 11754 Giovanni Ln, Richmond, Texas |
Authorized Official Name and Position | Sophie Mbua (OWNER/PMHNP-BC) |
Authorized Official Contact | 2819010044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gold Mind Psychiatry 11754 Giovanni Ln Richmond TX 77406-1535 Ph: (281) 901-0044 | Gold Mind Psychiatry 11754 Giovanni Ln Richmond TX 77406-1535 Ph: (281) 901-0044 |
NPI Number | 1730937905 |
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Provider Enumeration Date | 05/10/2024 |
Last Update Date | 05/10/2024 |
Certification Date | 05/10/2024 |
Medicare PECOS PAC ID | 9537501861 |
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Medicare Enrollment ID | O20240531001043 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730937905 | NPI | - | NPPES |
1811534902 | Other | NPPES(NPI) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Sophie Mbua |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811534902 PECOS PAC ID: 4688002314 Enrollment ID: I20230404000020 |
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