Immaculate Minds LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

IMMACULATE MINDS LLC

Practice address

9554 Brookhollow Dr
Woodway, TX 76712-3207

Phone

(281) 683-6517

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Immaculate Okeyo, PMHNP-BC

Title

Pmhnp

Phone

(281) 683-6517

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1235914300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 CHINA SPRING RD STE F",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767085685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9554 BROOKHOLLOW DR",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767123207",
            "telephone_number": "281-683-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "OKEYO",
        "authorized_official_first_name": "IMMACULATE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "281-683-6517",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Booker Howell
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• Anna Hughes-Vaughan
• Prentis Hyde, PT
• Staci Marie Istre, M.S., CCC-SLP
• Amanda Beth Jackson, LPC ASSOCIATE
• Kelly Janish, M.D.
• Jessica Deann Jefferson
• Jessica Pryor Counseling Services, LLC (Caring Heart Counseling of Texas)

• Psychiatric/Mental Health Nurse Practitioner in Woodway, TX
• Providers in Woodway, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.