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General NPI Number Information
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NPI Number | 1235008269
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Entity Type | Organization
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Legal Business Name | LIFTED MINDS PSYCHIATRY & WELLNESS PLLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 5700 TENNYSON PKWY STE 300
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City | PLANO
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State | TX
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Zip | 75024-3595
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Country | US
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Telephone | 214-470-8062
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Fax | 469-242-9838
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Provider Business Mailing Address
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Address Line | PO BOX 118741
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City | CARROLLTON
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State | TX
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Zip | 75011-8741
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Country | US
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Telephone | 214-470-8062
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RENATA L RHODES
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Credential | PMHNP
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Telephone | 469-200-9671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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