MEDICARE: ABA AND MENTAL HEALTH WELLNESS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist

General Provider Information

NPI Number	:	1255158762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABA AND MENTAL HEALTH WELLNESS PLLC

Provider Business Mailing Address
First Line	:	3120 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4509
Country	:	US
Telephone Number	:	346-443-4686
Fax Number	:

Provider Business Practice Location Address
First Line	:	2211 NORFOLK ST STE 140
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4044
Country	:	US
Telephone Number	:	346-443-4686
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DONDRA LESHEA BOBBITT
Credential	:	PMHNP-BC
Telephone Number	:	346-443-4686

Provider Enumeration Date	:	09/25/2024
Last Update Date	:	12/29/2025

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