Organization
GOLD MIND PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIE MBUA APRN (OWNER/PMHNP-BC)
(281) 901-0044
Entity
Organization
Contact information
Practice address
11754 GIOVANNI LN, RICHMOND, TX 77406-1535
(281) 901-0044
(281) 572-8631
Mailing address
11754 GIOVANNI LN, RICHMOND, TX 77406-1535
(281) 901-0044
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811534902
NPPES(NPI)
—
Enumeration date
05/10/2024
Last updated
05/10/2024
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