JULIA LARSEN PLCC CORPORATION NPI 1417598673

NPI Information

NPI: 1417598673
Provider Name: JULIA LARSEN PLCC, CORPORATION

Doing Business As: PANDORA'S HOUSE MENTAL HEALTH PROVIDER

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
107 MCKINNEY ST
FARMERSVILLE, TX
ZIP 75442
Phone: (972) 784-3064
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JULIA LARSEN PLCC, CORPORATION is a psychiatric/mental health nurse practitioner in Farmersville, TX. JULIA LARSEN PLCC, CORPORATION NPI is 1417598673. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pandora's House Mental Health Provider.

The provider's business location address is:

107 MCKINNEY ST
FARMERSVILLE, TX
ZIP 75442-213
Phone: (972) 784-3064
Fax: (972) 784-3069

The provider's authorized official is Julia P Larsen .
The authorized official title is Owner Of Entity and has the following contact phone number (972) 784-3064.

The enumeration date for this NPI number is 9/30/2019 and was last updated on 4/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	141598673	OTHER	TEXAS	ORGANIZATIONAL NPI
2	3866873	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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