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General NPI Number Information
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NPI Number | 1639052269
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Entity Type | Organization
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Legal Business Name | MINDFULLY MENDED PSYCHIATRY PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 240 E RENFRO ST STE 101
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City | BURLESON
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State | TX
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Zip | 76028-3939
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Country | US
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Telephone | 972-955-7474
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Fax | 972-955-2480
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Provider Business Mailing Address
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Address Line | 240 E RENFRO ST STE 101
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City | BURLESON
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State | TX
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Zip | 76028-3939
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Country | US
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Telephone | 972-955-7474
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Fax | 972-955-2480
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA STEHL
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Credential | DNP, APRN, PMHNP-BC
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Telephone | 972-955-7474
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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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