Provider Demographics
NPI:1700581337
Name:BIOMINDS BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:BIOMINDS BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:BAYO
Authorized Official - Middle Name:IVYL
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP PMHNP
Authorized Official - Phone:832-258-0772
Mailing Address - Street 1:4638 BRAZOS SHORES DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7077
Mailing Address - Country:US
Mailing Address - Phone:832-258-0772
Mailing Address - Fax:
Practice Address - Street 1:4638 BRAZOS SHORES DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7077
Practice Address - Country:US
Practice Address - Phone:832-258-0772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty