Healthcare Provider Details

I. General information

NPI: 1164338026
Provider Name (Legal Business Name): BLUEPRINT MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23410 KINGSLAND BLVD STE 200
KATY TX
77494-8471
US

IV. Provider business mailing address

4138 GREAT BEAR PL
HOUSTON TX
77084-7974
US

V. Phone/Fax

Practice location:
  • Phone: 832-510-0690
  • Fax: 832-510-0691
Mailing address:
  • Phone: 832-510-0690
  • Fax: 832-510-0691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: YAIMA GARCIA
Title or Position: OWNER
Credential:
Phone: 281-409-0570