MEDICARE: MENDIN BEHAVIORAL MANAGEMENT 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
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1770390288
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENDIN BEHAVIORAL MANAGEMENT PLLC

Provider Business Mailing Address
First Line	:	1270 CRABB RIVER RD STE 600
Second Line	:	PMB 323
City	:	RICHMOND
State	:	TX
Zip	:	77469-5635
Country	:	US
Telephone Number	:	281-633-6909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1270 CRABB RIVER RD STE 600
Second Line	:	PMB 323
City	:	RICHMOND
State	:	TX
Zip	:	77469-5635
Country	:	US
Telephone Number	:	281-633-6909
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HELENA MENDIN
Credential	:
Telephone Number	:	281-633-6909

Provider Enumeration Date	:	12/17/2024
Last Update Date	:	08/05/2025

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