| Mindful Change, Pllc | |
|
3220 San Jacinto St Houston TX 77004-2910 | |
| (281) 777-1510 | |
| Not Available |
| Full Name | Mindful Change, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3220 San Jacinto St, Houston, Texas |
| Authorized Official Name and Position | Lawrence Taylor (LPC/OWNER) |
| Authorized Official Contact | 8327255987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Change, Pllc 3731 Rio Vista St Houston TX 77021-1513 Ph: (832) 725-5987 | Mindful Change, Pllc 3220 San Jacinto St Houston TX 77004-2910 Ph: (281) 777-1510 |
| NPI Number | 1114567039 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Certification Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114567039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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