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Organization

A SAGACIOUS MIND BEHAVIORAL HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VANISE AMOREE LUSH (C.E.O.)
(832) 683-2085
Entity
Organization

Contact information

Practice address
15923 CUTTEN RD, HOUSTON, TX 77070-2069
(301) 746-2621
Mailing address
15923 CUTTEN RD, HOUSTON, TX 77070-2069
(301) 746-2621

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YS0200X
School Counselor
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
261QC1500X
Community Health Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
11/01/2022
Last updated
04/11/2025
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