Healthcare Provider Details

I. General information

NPI: 1942178272
Provider Name (Legal Business Name): DANI RHEANN PRATT DNP, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 N ACCESS RD
CLYDE TX
79510-3352
US

IV. Provider business mailing address

1712 N ACCESS RD
CLYDE TX
79510-3352
US

V. Phone/Fax

Practice location:
  • Phone: 325-893-4010
  • Fax:
Mailing address:
  • Phone: 325-893-4010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1036543
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: