Organization · Type 2 NPI
Agewell Psychiatry, PLLC
Psychiatric/Mental Health Nurse Practitioner · Dallas, TX
NPI number
1932020062
Active
Practice location
3626 N Hall St Ste 610
Dallas, TX 75219-5131
Mailing address
5225 Verde Valley Ln Apt 279
Dallas, TX 75254-7970
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 1932020062
Agewell Psychiatry, PLLC's National Provider Identifier is 1932020062, issued on Jul 23, 2026. 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 Jul 23, 2026.