Organization
INSPIRING MINDS THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JOHNSON (CAO)
(804) 510-4920
Entity
Organization
Contact information
Practice address
11500 NORTHWEST FWY STE 321B, HOUSTON, TX 77092-6530
(678) 683-4960
Mailing address
11500 NORTHWEST FWY STE 321B, HOUSTON, TX 77092-6530
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
10/17/2023
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