NPI Code Details Logo

NPI 1942165725

NPI 1942165725 : TRUENORTH PSYCHIATRIC LLC : ROUND ROCK, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1942165725
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TRUENORTH PSYCHIATRIC LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/23/2025
-----------------------------------------------------
    Last Update Date     |    12/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2631 GATTIS SCHOOL RD STE 220 
-----------------------------------------------------
    City                 |    ROUND ROCK
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78664-2822
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-676-8537
-----------------------------------------------------
    Fax                  |    833-973-5474
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2250 DOUBLE CREEK DR UNIT 7684 
-----------------------------------------------------
    City                 |    ROUND ROCK
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78683-0110
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-676-8537
-----------------------------------------------------
    Fax                  |    833-973-5474
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    APRN / LLC MANAGER
-----------------------------------------------------
    Name                 |    MRS. REBECCA RUTH BLACKWELL 
-----------------------------------------------------
    Credential           |    FNP, PMHNP
-----------------------------------------------------
    Telephone            |    512-676-8537
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.