# INNOVA MIND AND BODY

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

## Provider details

- **NPI number:** 1649959818
- **Authorized official:** ALICIA SANDOVAL-ALEXANDER NP (OWNER)
- **Authorized official phone:** (832) 250-3746

## Contact information

- **Practice address:** 16712 HUFFMEISTER RD STE 400A, CYPRESS, TX 77429-8695
- **Practice address phone:** (832) 850-3110
- **Practice address fax:** (832) 850-3112
- **Mailing address:** 16712 HUFFMEISTER RD STE 400A, CYPRESS, TX 77429-8695
- **Mailing address phone:** (832) 850-3110
- **Mailing address fax:** (832) 850-3112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2023
- **Last updated:** 11/29/2024