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General NPI Number Information
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NPI Number | 1457136582
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Entity Type | Organization
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Legal Business Name | SERENITY PSYCHIATRY OF NORTH TEXAS, PLLC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 6777 CAMP BOWIE BLVD STE 100
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City | FORT WORTH
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State | TX
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Zip | 76116-7156
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Country | US
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Telephone | 817-646-9699
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Fax | 817-259-2841
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Provider Business Mailing Address
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Address Line | 6777 CAMP BOWIE BLVD STE 100
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City | FORT WORTH
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State | TX
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Zip | 76116-7156
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Country | US
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Telephone | 817-646-9699
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Fax | 817-259-2841
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Authorized Official
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Title or Position | APRN
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Name | MRS. ERIN COLLEEN WILLBANKS
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Credential | APRN, PMHNP-BC
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Telephone | 817-646-9699
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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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