Awakened Mind, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

68094 Issued in TX

Legal business name

AWAKENED MIND, PLLC

Practice address

12920 Dairy Ashford Rd
105
Sugar Land, TX 77478-3177

Phone

(281) 905-1959

Fax

(281) 480-4641

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By 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

Mrs. Jeanette Seshadri, LPC

Title

Therapist

Phone

(281) 905-1959

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1841657145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RIPPLING CREEK DR",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-905-1959",
            "fax_number": "281-480-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 DAIRY ASHFORD RD",
            "address_2": "105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783177",
            "telephone_number": "281-905-1959",
            "fax_number": "281-480-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENED MIND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "SESHADRI",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "281-905-1959",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Sugar Land, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.