MEDICARE: THRIVING MINDS OF EL PASO, PLLC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1134807449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVING MINDS OF EL PASO, PLLC

Provider Business Mailing Address
First Line	:	5625 WOODROW BEAN STE 103
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-4143
Country	:	US
Telephone Number	:	432-284-9228
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 WOODROW BEAN STE 103
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-4143
Country	:	US
Telephone Number	:	432-284-9228
Fax Number	:

Authorized Official
Title or Position	:	APRN, PMHNP-BC
Name	:	ADRIANA Y MENDOZA
Credential	:	APRN
Telephone Number	:	432-284-9228

Provider Enumeration Date	:	07/06/2023
Last Update Date	:	07/15/2025

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