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NPI Code Detail

MEDICARE: TAE MIND SOLUTIONS LLC

MEDICARE: TAE MIND SOLUTIONS LLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1841140266
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAE MIND SOLUTIONS LLC
Provider Business Mailing Address
First Line : 617 E 16TH ST
Second Line :
City : PLANO
State : TX
Zip : 75074-5726
Country : US
Telephone Number : 469-254-0202
Fax Number :
Provider Business Practice Location Address
First Line : 617 E 16TH ST
Second Line :
City : PLANO
State : TX
Zip : 75074-5726
Country : US
Telephone Number : 469-254-0202
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TATENDA HOFISI
Credential :
Telephone Number : 469-254-0202
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “TAE MIND SOLUTIONS LLC ” Practice Location

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