Provider Demographics
NPI:1932932084
Name:CONNECTING MIND BODY & EARTH PLLC
Entity type:Organization
Organization Name:CONNECTING MIND BODY & EARTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONYELL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:713-925-7742
Mailing Address - Street 1:2222 TREASURE MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-4864
Mailing Address - Country:US
Mailing Address - Phone:713-925-7742
Mailing Address - Fax:
Practice Address - Street 1:2222 TREASURE MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-4864
Practice Address - Country:US
Practice Address - Phone:713-925-7742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty