Inneresilience Gym, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INNERESILIENCE GYM, PLLC

Practice address

22019 Golden Cedar Dr
Cypress, TX 77433-4647

Phone

(917) 651-6474

NPI assigned

Jul 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tiffany Melissa Edwards, PSYDNPI 1649696584

Title

Founder/Psychologist

Phone

(877) 765-9694

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Melissa Edwards

  • Clinical Psychologist
  • Tomball, TX
  • NPI 1649696584
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1124708912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22019 GOLDEN CEDAR DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334647",
            "telephone_number": "917-651-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22019 GOLDEN CEDAR DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334647",
            "telephone_number": "917-651-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERESILIENCE GYM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "FOUNDER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "877-765-9694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Cypress, TX
• Providers in Cypress, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.