MEDICARE: SIMPLE PSYCHIATRIC SOLUTIONS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1619715596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLE PSYCHIATRIC SOLUTIONS, PLLC

Provider Business Mailing Address
First Line	:	1601 INDUSTRIAL BLVD STE 3024
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-2601
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 INDUSTRIAL BLVD STE 3024
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-2601
Country	:	US
Telephone Number	:	713-234-4253
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	LAWRENCE OKE
Credential	:
Telephone Number	:	713-234-4253

Provider Enumeration Date	:	07/16/2024
Last Update Date	:	10/05/2025

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