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General NPI Number Information
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NPI Number | 1255212205
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Entity Type | Organization
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Legal Business Name | HEARTLAND MENTAL HEALTH AND WELLNESS, PLLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2205 MARTIN DR STE 100
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City | BEDFORD
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State | TX
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Zip | 76021-6083
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Country | US
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Telephone | 817-623-4245
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Fax | 817-259-2796
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Provider Business Mailing Address
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Address Line | PO BOX 15
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City | BEDFORD
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State | TX
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Zip | 76095-0015
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | TINA RANGEL
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Credential | PMHNP
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Telephone | 817-623-4245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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