Myndful Impact PLLC
Social Worker, Clinical in Houston, TX. Organization (NPI-2).
NPI number1467264366
StatusActive
Last updated in NPPESMar 26, 2025
Details
- NPI
- 1467264366
- Entity type
- Organization (NPI-2)
- Legal business name
- Myndful Impact PLLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2025
- Certification date
- Mar 26, 2025
- Last updated
- Mar 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
13100 Wortham Center Dr Ste 366Houston, TX 77065-5635
Phone 260-246-8800
Mailing address
1445 North Loop W 242f #1112Houston, TX 77008-1657
Phone 260-246-8800
Authorized official
Breanna Cansler
Chief Executive Director
2602468800
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