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Contact Information

MIND CULTIVATE INC
1500 DRAGON ST
DALLAS, TX75207-3917
 Phone: 832-455-8505
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Family

103TF0000X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Pastoral

101YP1600X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MIND CULTIVATE INC

NPI # 1366163636
LBN Legal business name MIND CULTIVATE INC
Authorized official NAOMI EWANSIHA - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2022
Last updated 10/04/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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