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NPI Code Detail

MEDICARE: INNOVATIVE PSYCH SOLUTIONS

MEDICARE: INNOVATIVE PSYCH SOLUTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

Other Identifiers

General Provider Information

NPI Number : 1649739236
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNOVATIVE PSYCH SOLUTIONS
Provider Business Mailing Address
First Line : 619 QUAIL RUN DR
Second Line :
City : MURPHY
State : TX
Zip : 75094-3853
Country : US
Telephone Number : 817-917-3821
Fax Number :
Provider Business Practice Location Address
First Line : 1402 S CUSTER RD STE 202
Second Line :
City : MCKINNEY
State : TX
Zip : 75072-1452
Country : US
Telephone Number : 214-842-8463
Fax Number : 469-535-8756
Authorized Official
Title or Position : PMHNP, APRN (CO-OWNER)
Name : SONIA THOMAS PILLAI
Credential : APRN
Telephone Number : 817-917-3821
Provider Enumeration Date : 03/14/2019
Last Update Date : 03/14/2019

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Directions to “INNOVATIVE PSYCH SOLUTIONS ” Practice Location

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