Healthcare Provider Details

I. General information

NPI: 1689586042
Provider Name (Legal Business Name): THE MIND CLINIC TX, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 S RICE ST
HAMILTON TX
76531-2537
US

IV. Provider business mailing address

616 S RICE ST
HAMILTON TX
76531-2537
US

V. Phone/Fax

Practice location:
  • Phone: 254-615-4799
  • Fax:
Mailing address:
  • Phone: 254-615-4799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: AMY ELIZABETH COWART
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 951-544-6811