Provider Demographics
NPI:1427704501
Name:MINDTREE INSTITUTE PLLC MINDTREE COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:MINDTREE INSTITUTE PLLC MINDTREE COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-235-4944
Mailing Address - Street 1:5002 REDWING BROOK TRL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4581
Mailing Address - Country:US
Mailing Address - Phone:832-235-4944
Mailing Address - Fax:
Practice Address - Street 1:1846 SNAKE RIVER RD STE B
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7758
Practice Address - Country:US
Practice Address - Phone:832-235-4944
Practice Address - Fax:281-345-0231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-27
Last Update Date:2022-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty