MEDICARE: BLESSED PSYCHIATRIC CARE PLLC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1811832611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLESSED PSYCHIATRIC CARE PLLC

Provider Business Mailing Address
First Line	:	1285 N MAIN ST STE 101-4
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-1511
Country	:	US
Telephone Number	:	817-523-9804
Fax Number	:	817-438-3675

Provider Business Practice Location Address
First Line	:	1285 N MAIN ST STE 101-4
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-1511
Country	:	US
Telephone Number	:	817-523-9804
Fax Number	:	817-438-3675

Authorized Official
Title or Position	:	OWNER
Name	:	PINALBEN GANDHI JIVAASHANA
Credential	:
Telephone Number	:	817-523-9804

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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