| Healthy Growth Mindset, Llc | |
|
129 Circle Way St Ste 110 Lake Jackson TX 77566-5239 | |
| (979) 217-1789 | |
| Not Available |
| Full Name | Healthy Growth Mindset, Llc |
|---|---|
| Speciality | Counselor |
| Location | 129 Circle Way St Ste 110, Lake Jackson, Texas |
| Authorized Official Name and Position | Heather Melass (OWNER) |
| Authorized Official Contact | 9797099566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Growth Mindset, Llc 129 Circle Way St Ste 110 Lake Jackson TX 77566-5239 Ph: (979) 217-1789 | Healthy Growth Mindset, Llc 129 Circle Way St Ste 110 Lake Jackson TX 77566-5239 Ph: (979) 217-1789 |
| NPI Number | 1831969294 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Medicare PECOS PAC ID | 1355782319 |
|---|---|
| Medicare Enrollment ID | O20240508003996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831969294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Heather Melass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174114169 PECOS PAC ID: 2264873223 Enrollment ID: I20240508004053 |
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