Miracle Mental Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIRACLE MENTAL HEALTH PLLC

Practice address

4830 Wilson Rd Ste 300
Humble, TX 77396-1972

Phone

(888) 753-8895

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Cordelia Ogechi Egwim

Title

Owner

Phone

(888) 753-8895

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1730832502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 WILSON RD STE 300",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 WILSON RD STE 300",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961972",
            "telephone_number": "888-753-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "EGWIM",
        "authorized_official_first_name": "CORDELIA",
        "authorized_official_middle_name": "OGECHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-753-8895",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind'N Matter Therapy Services P.C.
• Myiesha Nacole Mingo-Green
• Muhammad Minhal, DDS
• Duane Minix
• Minutecare EMS Inc
• Heather Mischel, COTA, B.S.
• Mitchell & Reed Enterprise, LLC
• Adam Michael Mitchell, MD
• Erica Mitchell
• Jamie Mitchell, LMT, MLD-C

• Psychiatric/Mental Health Nurse Practitioner in Humble, TX
• Providers in Humble, 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 May 13, 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.