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General NPI Number Information
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NPI Number | 1306470018
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Entity Type | Organization
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Legal Business Name | NEW BEGINNING MIND SPA & THERAPY, INC.
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 3934 FM 1960 RD W STE 355
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City | HOUSTON
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State | TX
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Zip | 77068-3556
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Country | US
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Telephone | 281-836-6548
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Fax |
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Provider Business Mailing Address
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Address Line | 3934 FM 1960 RD W STE 355
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City | HOUSTON
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State | TX
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Zip | 77068-3556
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Country | US
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Telephone | 291-836-6549
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. IESHA ANDERSON
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Credential | LPC
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Telephone | 281-836-6549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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