Healthcare Provider Details

I. General information

NPI: 1730771726
Provider Name (Legal Business Name): PSYCH INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 09/06/2023
Certification Date: 02/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1139 S MAIN ST
GRAPEVINE TX
76051-7533
US

IV. Provider business mailing address

7933 MOURNING DOVE DR
ARLINGTON TX
76002-4195
US

V. Phone/Fax

Practice location:
  • Phone: 817-416-7500
  • Fax: 817-416-7565
Mailing address:
  • Phone: 504-541-4735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATRINA LEWIS COULTER
Title or Position: PSYCHIATRIC/MENTAL NURSE PRACTITION
Credential: BSN, MSN, APRN
Phone: 504-541-4735