Provider Demographics
NPI:1134807449
Name:THRIVING MINDS OF EL PASO, PLLC
Entity type:Organization
Organization Name:THRIVING MINDS OF EL PASO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN, PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:432-284-9228
Mailing Address - Street 1:5625 WOODROW BEAN STE 111
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-4143
Mailing Address - Country:US
Mailing Address - Phone:432-284-9228
Mailing Address - Fax:
Practice Address - Street 1:5625 WOODROW BEAN STE 111
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4143
Practice Address - Country:US
Practice Address - Phone:432-284-9228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty