MARLISHA'S MENTAL FITNESS LLC NPI 1831841626

NPI Information

NPI: 1831841626
Provider Name: MARLISHA'S MENTAL FITNESS LLC

Doing Business As: MIND HAVEN

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
425 PINSON RD STE M
FORNEY, TX
ZIP 75126
Phone: (469) 457-2163
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MARLISHA'S MENTAL FITNESS LLC is a psychiatric/mental health nurse practitioner in Forney, TX. MARLISHA'S MENTAL FITNESS LLC NPI is 1831841626. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mind Haven.

The provider's business location address is:

425 PINSON RD STE M
FORNEY, TX
ZIP 75126-774
Phone: (469) 457-2163
Fax: (469) 242-9833

The provider's authorized official is Marlisha Lorraine Thomas .
The authorized official title is Owner/ Provider and has the following contact phone number (662) 440-0301.

The enumeration date for this NPI number is 1/22/2022 and was last updated on 2/15/2022.

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

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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