# MYSAIAH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578139317
- **Authorized official:** LISA GHILONI PHD (OWNER)
- **Authorized official phone:** (614) 354-5472

## Contact information

- **Practice address:** 77 SUGAR CREEK CENTER BLVD SUITE 600, SUGAR LAND, TX 77478
- **Practice address phone:** (832) 429-7307
- **Practice address fax:** (833) 967-1871
- **Mailing address:** 77 SUGAR CREEK CENTER BLVD SUITE 600, SUGAR LAND, TX 77478-8006
- **Mailing address phone:** (832) 429-7307
- **Mailing address fax:** (833) 967-1871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 10/29/2024