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General NPI Number Information
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NPI Number | 1083500482
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Entity Type | Organization
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Legal Business Name | RELAX MIND WELLNESS CLINIC PLLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 14829 BELLAIRE BLVD STE 13B-5
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City | HOUSTON
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State | TX
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Zip | 77083-2500
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Country | US
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Telephone | 346-631-5576
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Fax | 346-839-0199
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Provider Business Mailing Address
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Address Line | 6611 WINDY HILLS LN
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City | KATY
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State | TX
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Zip | 77493-2923
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Country | US
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Telephone | 346-631-5576
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Fax |
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | DIANA MUYONGA
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Credential |
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Telephone | 346-631-5576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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