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General NPI Number Information
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NPI Number | 1528684552
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Entity Type | Organization
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Legal Business Name | MIND HEALTH PLLC
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 2245 TEXAS DR STE 300
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City | SUGAR LAND
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State | TX
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Zip | 77479-1468
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Country | US
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Telephone | 858-405-1769
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Fax |
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Provider Business Mailing Address
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Address Line | 22210 RUSTIC OAK CT
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City | RICHMOND
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State | TX
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Zip | 77469-5647
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Country | US
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Telephone | 858-405-1769
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. CARMEN PULIDO
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Credential | PH.D.
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Telephone | 858-405-1769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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