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Organization
MYSAIAH, LLC
Active
Organization
MYSAIAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GHILONI PHD (OWNER)
(614) 354-5472
Entity
Organization
Contact information
Practice address
77 SUGAR CREEK CENTER BLVD SUITE 600, SUGAR LAND, TX 77478
(832) 429-7307
(833) 967-1871
Mailing address
77 SUGAR CREEK CENTER BLVD SUITE 600, SUGAR LAND, TX 77478-8006
(832) 429-7307
(833) 967-1871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
10/29/2024
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