| Therapeutic Mind Shift, Llc | |
|
222 County Road 608 Angleton TX 77515-2063 | |
| (979) 248-4542 | |
| Not Available |
| Full Name | Therapeutic Mind Shift, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 222 County Road 608, Angleton, Texas |
| Authorized Official Name and Position | Dequita L Frost (OWNER) |
| Authorized Official Contact | 9792484542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Mind Shift, Llc 222 County Road 608 Angleton TX 77515-2063 Ph: (979) 248-4542 | Therapeutic Mind Shift, Llc 222 County Road 608 Angleton TX 77515-2063 Ph: (979) 248-4542 |
| NPI Number | 1871346866 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871346866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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