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General NPI Number Information
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NPI Number | 1417236092
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Entity Type | Organization
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Legal Business Name | HEALING MINDS, PLLC
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 08/12/2011
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Provider Practice Location Address
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Address Line | 6750 WEST LOOP S SUITE 460
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City | BELLAIRE
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State | TX
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Zip | 77401-4103
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Country | US
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Telephone | 713-665-1604
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Fax | 713-665-1601
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Provider Business Mailing Address
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Address Line | 6750 WEST LOOP SOUTH FREEWAY SUITE 460
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 713-665-1604
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Fax | 713-665-1601
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. VALDESHA LECHANTE' BALL
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Credential | M.D.
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Telephone | 713-665-1604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | N2928
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License Number State | TX
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