Provider Demographics
NPI:1902618887
Name:LIBERATED MINDS TX COUNSELING PLLC
Entity type:Organization
Organization Name:LIBERATED MINDS TX COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THINH
Authorized Official - Middle Name:PHAN
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:346-634-7571
Mailing Address - Street 1:14922 BIG SPRING PARK DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4235
Mailing Address - Country:US
Mailing Address - Phone:346-634-7571
Mailing Address - Fax:
Practice Address - Street 1:12807 HAYNES RD
Practice Address - Street 2:BLDG C UNIT 1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-1124
Practice Address - Country:US
Practice Address - Phone:346-634-7571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty