Organization
MIND CULTIVATE INC
Active
Other names
Mind Cultivate
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI EWANSIHA (MANAGER)
(832) 455-8505
Entity
Organization
Contact information
Practice address
1500 DRAGON ST, DALLAS, TX 75207-3917
(832) 455-8505
Mailing address
2361 E UNIVERSITY DR STE 10, PROSPER, TX 75078-2391
(832) 455-8505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/06/2022
Last updated
10/04/2022
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