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NPI Code Detail

MEDICARE: DASH MINDFULNESS SERVICES

MEDICARE: DASH MINDFULNESS SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QM0850XAdult Mental Health Clinic/Center
3261QM0855XAdolescent and Children Mental Health Clinic/Center
4324500000XSubstance Abuse Rehabilitation Facility
53245S0500XChildren's Substance Abuse Rehabilitation Facility
6251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1093410078
Entity Type Code : Organization
Provider Name (Legal Business Name) : DASH MINDFULNESS SERVICES
Provider Business Mailing Address
First Line : 16225 PARK TEN PL STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5152
Country : US
Telephone Number : 347-835-2186
Fax Number :
Provider Business Practice Location Address
First Line : 16225 PARK TEN PL STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5152
Country : US
Telephone Number : 347-835-2186
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. RAHMELL DASH
Credential :
Telephone Number : 347-835-2186
Provider Enumeration Date : 03/31/2023
Last Update Date : 03/31/2023

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