| NPI | 1467042358 |
|---|---|
| Other Name | INNOVATION MIND & BODY LLC |
| Entity Type | Organization |
| Authorized Contact | LUCIANA THOMPSON Nurse Practitioner 832-517-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-25 |