Organization · Type 2 NPI
State of Mind Psychiatry, LLC
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1366167082
Active
Practice location
4364 Western Center Blvd # 2221
Fort Worth, TX 76137-2043
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 1366167082
State of Mind Psychiatry, LLC's National Provider Identifier is 1366167082, issued on Oct 5, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 5, 2022.