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General NPI Number Information
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NPI Number | 1346039112
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Entity Type | Organization
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Legal Business Name | BIOMENTALS, INC.
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 12828 WILLOW CENTRE DRIVE SUITE D #1005
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City | HOUSTON
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State | TX
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Zip | 77066
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Country | US
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Telephone | 832-322-2144
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Fax |
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Provider Business Mailing Address
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Address Line | 12828 WILLOW CENTRE DRIVE SUITE D #1005
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City | HOUSTON
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State | TX
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Zip | 77066
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Country | US
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Telephone | 832-322-2144
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CYNTHIA PEREIRA
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Credential | CFNC, FNLP
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Telephone | 832-322-2144
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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