MEDICARE: BREEZY PSYCHIATRY LLC

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	:	1942166921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREEZY PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	2712 COLBY DR
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-6568
Country	:	US
Telephone Number	:	817-863-3925
Fax Number	:

Provider Business Practice Location Address
First Line	:	2712 COLBY DR
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063
Country	:	US
Telephone Number	:	817-863-3925
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MS. EUNICE NYAMICHABA NYAMICHABA
Credential	:	APRN-CNP
Telephone Number	:	817-863-3925

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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