INNOVATION MIND & BODY LLC
Nurse Practitioner (Psychiatric/Mental Health)

Address: 3303 Cypress Creek Pkwy Ste 420, Houston, TX 77068-3612

INNOVATION MIND & BODY LLC (NPI# 1467042358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467042358
Entity Type Organization
Organization Name INNOVATION MIND & BODY LLC
Practice Address 3303 Cypress Creek Pkwy Ste 420
Houston
TX 77068-3612
Practice Telephone 8325179058
Mailing Address Po Box 681583
Houston
TX 77268-1583
Mailing Telephone 8325179058
Certification Date 2021-01-25
Enumeration Date 2021-01-25
Last Update Date 2021-01-25
Authorized Official Telephone 8325179058
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psychiatric/Mental Health
193400000X MULTIPLE SINGLE SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Innovation Mind & Body LLC Other Name

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address Info@innovationmb.com 3303 Cypress Creek Pkwy Ste 420, Houston, TX 770683612 Direct CSV

Office Location

Street Address 3303 CYPRESS CREEK PKWY STE 420
City HOUSTON
State TX
Zip Code 77068-3612

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1649744376 Northgate Dental Pllc Clinic/Center · Dental 14715 T C Jester Blvd., Suite 500, Houston, TX 77068 2019-01-16
1285116517 Christopher Hong Nguyen Physical Therapy Assistant 2930 Cypress Creek Pkwy, Houston, TX 77068 2018-09-04
1578062543 Madonna Stacker Behavior Technician 3845 Cypress Creek Parkway Ste 215, Houston, TX 77068 2018-02-06
1801395884 Briana Breshaye Brown Behavior Technician 3845 Cypress Creek Parkway Suite 215, Houston, TX 77068 2018-02-06
1235638206 Exelena N. Moss Behavior Technician 3845 Cypress Creek Pkway, Ste 215, Houston, TX 77068 2018-02-06
1225537293 Jessica Akinwolere Behavior Technician 3845 Cypress Creek Pkwy Suite 215, Houston, TX 77068 2018-02-06
1619476694 Evelyn M Gonzalez Behavior Technician 3845 Cypress Creek Parkway St 215, Houston, TX 77068 2018-02-06
1366803132 Holden Vocational Services Case Management 3724 Fm 1960 West, Suite 300 M, Houston, TX 77068 2016-03-08
1619385374 Victoria Nqozi Onwuchekwa Durable Medical Equipment & Medical Supplies 3845 Jm 1960 #281, Houston, TX 77068 2014-07-25
1548672520 King Mason Jr. Naturopath 3920 F.m. 1960 Road West, #240, Houston, TX 77068 2014-05-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346830114 Juah Nimene 17911 Treemont Lndg, Houston, TX 77084-3399 2021-01-25
1932709201 Aftercare, Pllc 2000 Crawford St Ste 1221, Houston, TX 77002-9000 2020-10-27
1548887748 Sparks Psychiatry Pllc 9898 Bissonnet St Ste 200, Houston, TX 77036-8025 2020-07-03
1801411087 Leah Meyer 2000 S Dairy Ashford Rd Ste 660, Houston, TX 77077-5711 2020-06-12
1134741416 Elizabeth Ndubuaku Emebo 6430 Court Rd Bldg A, Houston, TX 77053-4462 2020-05-10
1093348526 Juliana Estrada · Julie Estrada 1757 Aden Dr, Houston, TX 77003-5309 2020-02-12
1992337257 Ozioma G Anyakudo 2815 W Tc Jester Blvd, Houston, Texas 77018, Houston, TX 77018 2020-02-05
1578106217 Simonpeter O Emokpaire 230 Westcott St Ste 210, Houston, TX 77007-7026 2019-10-25
1477104420 Seprina Renee Howard 13702 Sutton Glen Ln, Houston, TX 77047-7540 2019-09-20
1700433760 Kate Okoroafo 3043 Gessner Dr, Houston, TX 77080 2019-08-23
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City HOUSTON
Zip Code 77068

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.