Organization · Type 2 NPI
The Phoenix Place PLLC
Psychiatric/Mental Health Nurse Practitioner · Mansfield, TX
NPI number
1225976400
Active
Practice location
809 Virginia Dr
Mansfield, TX 76063-5510
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 1225976400
The Phoenix Place PLLC's National Provider Identifier is 1225976400, issued on Mar 23, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mansfield, TX. The record was last updated on Mar 23, 2026.