Mindcare Alliance Health PLLC
Nurse Practitioner, Psych/Mental Health in Dallas, TX. Organization (NPI-2).
NPI number1124817606
StatusActive
Last updated in NPPESMay 2, 2025
Details
- NPI
- 1124817606
- Entity type
- Organization (NPI-2)
- Legal business name
- Mindcare Alliance Health PLLC
- Organization subpart
- No
- Enumeration date
- May 2, 2025
- Certification date
- May 2, 2025
- Last updated
- May 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
11615 Forest Central Dr Ste 106Dallas, TX 75243-3829
Phone 214-444-9827
Mailing address
11615 Forest Central Dr Ste 106Dallas, TX 75243-3829
Phone 214-444-9827
Authorized official
Olumide Remi-Johnson
Director
2144449827
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