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NPI 1962354977

NPI 1962354977 : GEORGETOWN INTEGRATIVE PSYCHIATRY & WELLNESS PLLC : GEORGETOWN, TX

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General NPI Number Information
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    NPI Number           |    1962354977
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEORGETOWN INTEGRATIVE PSYCHIATRY & WELLNESS PLLC 
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Dates
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    Enumeration Date     |    02/11/2026
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    Last Update Date     |    02/11/2026
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Provider Practice Location Address
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    Address Line         |    2951 FM 1460 UNIT 1701 
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    City                 |    GEORGETOWN
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    State                |    TX
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    Zip                  |    78626-7423
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    Country              |    US
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    Telephone            |    512-582-3424
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2951 FM 1460 UNIT 1701 
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    City                 |    GEORGETOWN
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    State                |    TX
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    Zip                  |    78626-7423
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |     INYENE  UMOREN 
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    Credential           |    MD
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    Telephone            |    404-784-4753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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