Prestige Behavioral Health PLLC
Nurse Practitioner, Psych/Mental Health in Richardson, TX. Organization (NPI-2).
NPI number1689299752
StatusActive
Last updated in NPPESJul 6, 2020
Details
- NPI
- 1689299752
- Entity type
- Organization (NPI-2)
- Legal business name
- Prestige Behavioral Health PLLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2020
- Certification date
- Jul 6, 2020
- Last updated
- Jul 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
800 W Renner Rd Apt 3216Richardson, TX 75080-1047
Phone 972-835-1112
Mailing address
800 W Renner Rd Apt 3216Richardson, TX 75080-1047
Phone 972-835-1112
Authorized official
Jamie Lynn Hulm
Owner
9728351112
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