MEDICARE: BRAIN AND WELLNESS INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	163WH0200X	Home Health Registered Nurse
3	163WH1000X	Hospice Registered Nurse
4	171M00000X	Case Manager/Care Coordinator
5	2080H0002X	Pediatric Hospice and Palliative Medicine Physician
6	208100000X	Physical Medicine & Rehabilitation Physician
7	2083A0300X	Addiction Medicine (Preventive Medicine) Physician
8	225X00000X	Occupational Therapist
9	251E00000X	Home Health Agency
10	251G00000X	Community Based Hospice Care Agency
11	261QM1300X	Multi-Specialty Clinic/Center
12	343900000X	Non-emergency Medical Transport (VAN)
13	363L00000X	Nurse Practitioner
14	363LF0000X	Family Nurse Practitioner
15	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1992391387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRAIN AND WELLNESS INC.

Provider Business Mailing Address
First Line	:	10401 S MASON RD BLDG D STE 404
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5885
Country	:	US
Telephone Number	:	832-893-7028
Fax Number	:

Provider Business Practice Location Address
First Line	:	10401 S MASON RD STE 404
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-5885
Country	:	US
Telephone Number	:	713-828-5480
Fax Number	:	832-952-0230

Authorized Official
Title or Position	:	CEO
Name	:	DR. SARAH TAYLOR
Credential	:	PHD, FNP-C, PMHNP-BC
Telephone Number	:	832-893-7028

Provider Enumeration Date	:	12/19/2020
Last Update Date	:	09/05/2023

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