National Provider Identifier
Great Minds Academy
Great Minds Academy is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Lake Jackson, TX and a listed phone number of (979) 418-7165.
Source: public NPPES record, last updated November 21, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1760162572
- Provider Type
- Organization
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- July 18, 2023
- Last Updated
- November 21, 2023
Practice Location
- 309 Plantation Dr Ste P
- Lake Jackson, TX 77566-6142
Phone: (979) 418-7165
Authorized Official
- Name
- Edna Lucio
- Title
- Owner
- Credentials
- OT
- Phone
- (979) 418-7165
Specialties
- Pediatric Occupational Therapist (225XP0200X)
- Pediatric Physical Therapist (2251P0200X)
Endpoints
- officeassistant@angelleaf.net
Direct Messaging Address | Angel Leaf Rehab And Consulting LLC | Lake Jackson, TX 77566
Browse Similar Providers
See more Pediatrics providers in Lake Jackson, TX.
Full Record
- NPI
- 1760162572
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Great Minds Academy
- Mailing Street Address
- 309 Plantation Dr Ste P
- Mailing City
- Lake Jackson
- Mailing State
- TX
- Mailing ZIP Code
- 77566-6142
- Mailing Country
- US
- Practice Street Address
- 309 Plantation Dr Ste P
- Practice City
- Lake Jackson
- Practice State
- TX
- Practice ZIP Code
- 77566-6142
- Practice Country
- US
- Practice Phone
- (979) 418-7165
- Practice Fax
- (800) 419-5153
- Enumeration Date
- July 18, 2023
- Last Updated
- November 21, 2023
- Authorized Official Last Name
- Lucio
- Authorized Official First Name
- Edna
- Authorized Official Title
- Owner
- Authorized Official Phone
- (979) 418-7165
- Organization Subpart
- No
- Authorized Official Credential Text
- OT
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Certification Date
- November 21, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X), Pediatric Physical Therapist (2251P0200X)