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General NPI Number Information
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NPI Number | 1467819029
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Entity Type | Organization
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Legal Business Name | MIND HEALTH PSYCHIATRY NP, PLLC
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 1400 N COIT RD STE 302
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City | MCKINNEY
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State | TX
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Zip | 75071-6656
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Country | US
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Telephone | 972-987-6183
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Fax | 972-987-6184
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Provider Business Mailing Address
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Address Line | 251 WILSON DR
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City | PROSPER
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State | TX
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Zip | 75078-8583
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Country | US
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Telephone | 504-905-3417
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Fax | 972-987-6184
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Authorized Official
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Title or Position | CEO
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Name | DR. CARNIKA DONALD
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Credential | DNP, MSN, PMHNP-BC
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Telephone | 972-987-6183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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