Healthcare Provider Details
I. General information
NPI: 1477458479
Provider Name (Legal Business Name): THE INTRINSIC MIND, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
127 WESLEY DR
LEAGUE CITY TX
77573-3633
US
IV. Provider business mailing address
2202 TWIN OAKS BLVD
KEMAH TX
77565-2153
US
V. Phone/Fax
- Phone: 832-736-7376
- Fax:
- Phone: 832-736-7376
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
CYNTHIA
SIERRA
Title or Position: THERAPIST
Credential: LPC
Phone: 832-736-7376