Mindsprouts Personal Growth Therapy PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

37241 Issued in TX

Legal business name

MINDSPROUTS PERSONAL GROWTH THERAPY PLLC

Practice address

16135 Preston Rd Ste 116
Dallas, TX 75248-8532

Phone

(214) 830-9879

NPI assigned

Aug 28, 2016

Last updated

Mar 1, 2021By 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

Dr. Connie M Siciliano Avila, PHDNPI 1174020622

Title

Psychologist/Owner

Phone

(214) 830-9879

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie M Siciliano Avila, PHD

  • Counseling Psychologist
  • Rockwall, TX
  • NPI 1174020622
  NPD Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1730635053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863842",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750863842",
            "telephone_number": "214-830-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16135 PRESTON RD STE 116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752488532",
            "telephone_number": "214-830-9879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Nasa Parkway",
            "address_2": "Suite 125",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77058",
            "country_code": "US",
            "telephone_number": "214-830-9879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8105 Rasor Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750240116",
            "country_code": "US",
            "telephone_number": "214-830-9879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDSPROUTS PERSONAL GROWTH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "SICILIANO AVILA",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "214-830-9879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63226",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "37241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Momentum Counseling Services PLLC
• Mindful, LLC
• Mindglamour PLLC
• Minds of Gold (Golden Crown)
• Mindscape Mental Health PLLC
• Joseph P Minei, MD
• Michael Ervin Miner, MD
• Sarah Miranda Miner, PA-C
• Tiffany Miner, PA-C
• James Ming

• Counseling Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.