Organization · Type 2 NPI
Peace Pavilion Mental Healthcare and Counseling Services PLLC
Psychiatric/Mental Health Nurse Practitioner · Houston, TX
NPI number
1104694389
Active
Practice location
9950 Westpark Dr Ste 528
Houston, TX 77063-5274
Mailing address
11747 Giovanni Ln
Richmond, TX 77406-1536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104694389
Peace Pavilion Mental Healthcare and Counseling Services PLLC's National Provider Identifier is 1104694389, issued on Dec 18, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Houston, TX. The record was last updated on Jan 3, 2024.