MEDICARE: MENTAL HEIGHTS, 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1487527289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEIGHTS, PLLC

Provider Business Mailing Address
First Line	:	818 E HEIGHTS HOLLOW LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-7072
Country	:	US
Telephone Number	:	936-900-1416
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 W 12TH ST STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-6990
Country	:	US
Telephone Number	:	936-900-1416
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	AMY COLDWELL
Credential	:
Telephone Number	:	936-900-1416

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/26/2025

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