MEDICARE: MIND & FAITH 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1902755796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND & FAITH PLLC

Provider Business Mailing Address
First Line	:	7329 ENCHANTED POINT DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79911-7537
Country	:	US
Telephone Number	:	915-213-3321
Fax Number	:

Provider Business Practice Location Address
First Line	:	7329 ENCHANTED POINT DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79911-7537
Country	:	US
Telephone Number	:	915-213-3321
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINE RUBI COGDILL
Credential	:	LPC
Telephone Number	:	915-875-4069

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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