Provider Demographics
NPI:1447078043
Name:MINEO NEUROBEHAVIORAL HEALTH CONSULTANTS
Entity type:Organization
Organization Name:MINEO NEUROBEHAVIORAL HEALTH CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MINEO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:954-937-2597
Mailing Address - Street 1:9757 PINE LAKE DR APT 1059
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6151
Mailing Address - Country:US
Mailing Address - Phone:954-937-2597
Mailing Address - Fax:954-937-2597
Practice Address - Street 1:9757 PINE LAKE DR APT 1059
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-6151
Practice Address - Country:US
Practice Address - Phone:954-937-2597
Practice Address - Fax:954-937-2597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-01
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty