Provider Demographics
NPI:1346039112
Name:BIOMENTALS, INC.
Entity type:Organization
Organization Name:BIOMENTALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:CFNC, FNLP
Authorized Official - Phone:832-322-2144
Mailing Address - Street 1:12828 WILLOW CENTRE DRIVE
Mailing Address - Street 2:SUITE D #1005
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066
Mailing Address - Country:US
Mailing Address - Phone:832-322-2144
Mailing Address - Fax:
Practice Address - Street 1:12828 WILLOW CENTRE DRIVE
Practice Address - Street 2:SUITE D #1005
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066
Practice Address - Country:US
Practice Address - Phone:832-322-2144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor