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General NPI Number Information
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NPI Number | 1609738368
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Entity Type | Organization
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Legal Business Name | BEATIFUL MINDS - MONTGOMERY, PLLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 72 LA JOLLA CIRCLE
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City | MONTGOMERY
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State | TX
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Zip | 77356
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Country | US
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Telephone | 936-306-7251
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Fax | 936-286-4275
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Provider Business Mailing Address
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Address Line | 3120 SOUTHWEST FWY STE 101
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City | HOUSTON
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State | TX
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Zip | 77098-4520
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Country | US
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Telephone | 936-306-7251
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Fax | 936-286-4275
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Authorized Official
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Title or Position | OWNER
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Name | BRANDI GEBHARDT
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Credential | APRN
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Telephone | 979-337-2581
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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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