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General NPI Number Information
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NPI Number | 1932020062
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Entity Type | Organization
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Legal Business Name | AGEWELL PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 3626 N HALL ST STE 610
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City | DALLAS
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State | TX
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Zip | 75219-5131
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Country | US
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Telephone | 214-743-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 5225 VERDE VALLEY LN APT 279
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City | DALLAS
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State | TX
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Zip | 75254-7970
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Country | US
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Telephone | 214-743-0005
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | SCHERRAINE WRENN
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Credential | APRN
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Telephone | 214-743-0005
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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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