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Organization
SOLIDBASE BEHAVIORAL HEALTH PLLC
Active
Organization
SOLIDBASE BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZIAHA IHEDIWAH (PMHNP)
(945) 296-2799
Entity
Organization
Contact information
Practice address
1019 SHACKELFORD LN, FORNEY, TX 75126-5096
(945) 296-2799
Mailing address
6060 N CENTRAL EXPY, DALLAS, TX 75206-5209
(945) 296-2799
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
05/20/2026
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