Organization · Type 2 NPI
Divine Behavioral Health Clinic PLLC
Psychiatric/Mental Health Nurse Practitioner · Dallas, TX
NPI number
1689456691
Active
Practice location
539 W Commerce St Ste 5507
Dallas, TX 75208-1953
Mailing address
803 Meryton Ct
Mansfield, TX 76063-4337
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 1689456691
Divine Behavioral Health Clinic PLLC's National Provider Identifier is 1689456691, issued on Oct 16, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dallas, TX. The record was last updated on Oct 19, 2023.