K CHISOLM LLC NPI 1487331963

NPI Information

NPI: 1487331963
Provider Name: K CHISOLM LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1710 BELLA LN
MANSFIELD, TX
ZIP 76063
Phone: (240) 642-1400
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K CHISOLM LLC is a mental health (including community mental health center) clinic center in Mansfield, TX. K CHISOLM LLC NPI is 1487331963. The provider is registered as an organization entity type.

The provider's business location address is:

1710 BELLA LN
MANSFIELD, TX
ZIP 76063-470
Phone: (240) 642-1400

The provider's authorized official is Kamaria Chisolm .
The authorized official title is Psychologist and has the following contact phone number (240) 642-1400.

The enumeration date for this NPI number is 6/28/2023 and was last updated on 6/28/2023.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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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