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General NPI Number Information
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NPI Number | 1205691136
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Entity Type | Organization
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Legal Business Name | MINDHAVEN BEHAVIORAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 12333 SOWDEN RD STE B514187
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City | HOUSTON
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State | TX
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Zip | 77080-2058
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Country | US
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Telephone | 346-732-9227
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Fax |
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Provider Business Mailing Address
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Address Line | 16615 BLUE NILE DR
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City | CYPRESS
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State | TX
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Zip | 77433-5163
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Country | US
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Telephone | 512-736-1121
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHINWE OSUAGWU
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Credential |
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Telephone | 512-736-1121
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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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