Healthcare Provider Details

I. General information

NPI: 1922913813
Provider Name (Legal Business Name): BERYL MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 MOSSY POINT C
ROSENBERG TX
77469
US

IV. Provider business mailing address

24301 BRAZOS TOWN XING STE 500
ROSENBERG TX
77471-6286
US

V. Phone/Fax

Practice location:
  • Phone: 832-794-1235
  • Fax:
Mailing address:
  • Phone: 832-794-1235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: IDORENYIN JAMES
Title or Position: OWNER
Credential: NP
Phone: 832-794-1235