Mind Balance Infusions

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

MIND BALANCE INFUSIONS

Practice address

200 Valley Wood Dr Ste B300
The Woodlands, TX 77380-5410

Phone

(281) 719-8303

NPI assigned

Feb 14, 2022

Organization subpart

No

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

Authorized official

Name

Laura Renee Jackson, CRNA

Title

Owner/Member

Phone

(281) 719-8303

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1548915044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VALLEY WOOD DR STE B300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773805410",
            "telephone_number": "281-719-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALLEY WOOD DR STE B300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773805410",
            "telephone_number": "281-719-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BALANCE INFUSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "281-719-8303",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mindbalanceinfusions.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Valley Wood Dr Ste B300",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773805410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielette Lee Miller, CST
• Kelly Miller, H.I.S.
• Sandra Lee Miller
• Wanda L Miller, P.T.
• Lauren Ashley Mills, LPC ASSOCIATE
• Mindful Therapy of the Woodlands, LLC
• Rebecca Erin Minner, FNP
• Diamond Minniefield, D.C.
• Silvana C Minuta, M.ED.
• Nena Mirkovic, M.D.

• Infusion Therapy Clinic/Center in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.