MINDSPROUTS PERSONAL GROWTH THERAPY LLC (NPI# 1730635053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730635053 |
| Entity Type | Organization |
| Organization Name | MINDSPROUTS PERSONAL GROWTH THERAPY LLC |
| Practice Address |
8105 Rasor Blvd Ste 290 Plano TX 75024-0116 |
| Mailing Address |
Po Box 5407 Frisco TX 75035-2013 |
| Practice Telephone | 2148309879 |
| Mailing Telephone | 2148309879 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | DR. CONNIE M SICILIANO AVILA (PSYCHOLOGIST) |
| Authorized Official Telephone | 2148309879 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
63226 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
37241 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 Nasa Parkway, Suite 125, Houston, TX 77058 | 2148309879 |
| Street Address |
8105 RASOR BLVD STE 290 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-0116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174020622 | Connie M Siciliano Avila | Psychologist | 8105 Rasor Blvd Ste 290, Plano, TX 75024-0116 | 2018-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316346901 | Rosemarie Claire Rothmeier | Psychologist | 3549 Big Horn Trl, Plano, TX 75075-1730 | 2014-08-19 |
| 1104053461 | Terrance Allan Wilensky | Psychologist | 4625 Faulkner Dr, Plano, TX 75024-7397 | 2009-06-15 |
| 1376736447 | Joanna Jones Ellis | Psychologist | 5713 Northbrook Dr, Plano, TX 75093 | 2007-08-22 |
| 1134310907 | Steven Sliwinski, Phd, P.C. | Psychologist | 903 18th St Ste 117, Plano, TX 75074-5838 | 2007-08-07 |
| 1851457915 | Marcella Irene Lee | Psychologist | 5601 Democracy Dr Ste 225, Plano, TX 75024-3515 | 2006-12-30 |
| 1700988862 | Karen Jean Prager | Psychologist | 3212 Sailmaker Ln, Plano, TX 75023-3609 | 2006-09-01 |
| 1184239170 | Change-well Pllc | Psychologist | 1820 Preston Park Blvd Ste 2200, Plano, TX 75093-3614 | 2020-09-15 |
| 1003446113 | Thomas Psychological Services Pllc | Psychologist | 6404 International Pkwy Ste 1010, Plano, TX 75093-8346 | 2020-01-17 |
| 1174020622 | Connie M Siciliano Avila | Psychologist | 8105 Rasor Blvd Ste 290, Plano, TX 75024-0116 | 2018-04-11 |
| 1801247515 | Yu Harumi, Phd, Pllc | Psychologist | 2419 Coit Rd, Ste C, Plano, TX 75075-3731 | 2016-06-23 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on MINDSPROUTS PERSONAL GROWTH THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.