Provider Demographics
NPI:1821538687
Name:OPTIMIZE MIND CARE, LLC
Entity Type:Organization
Organization Name:OPTIMIZE MIND CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LARA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, BCN
Authorized Official - Phone:713-882-9370
Mailing Address - Street 1:2302 FANNIN ST
Mailing Address - Street 2:SUITE 500A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-9143
Mailing Address - Country:US
Mailing Address - Phone:713-882-9370
Mailing Address - Fax:
Practice Address - Street 1:2302 FANNIN ST
Practice Address - Street 2:SUITE 500A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9143
Practice Address - Country:US
Practice Address - Phone:713-882-9370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75721251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health