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Organization
YOUR PSYCH NP LLC
Active
Organization
YOUR PSYCH NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRECY BERGEN PMHNP-BC (PMHNP- BC)
(828) 482-2174
Entity
Organization
Contact information
Practice address
612 W 22ND ST, AUSTIN, TX 78705-5104
(512) 515-9434
(682) 651-1468
Mailing address
1304 FERNWOOD RD, AUSTIN, TX 78722-1028
(828) 482-2174
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/01/2024
Last updated
02/22/2024
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