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Organization
MIND HAVEN BEHAVIORAL CLINIC LLC
Active
Organization
MIND HAVEN BEHAVIORAL CLINIC LLC
Active
Other names
Mind Haven Behavioral Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NONYE FRANCES NWOKORO (OWNER)
(214) 210-5592
Entity
Organization
Contact information
Practice address
733 HIGHWAY 287 N STE 407, MANSFIELD, TX 76063-3867
(214) 210-5592
(505) 212-1939
Mailing address
733 HIGHWAY 287 N STE 407, MANSFIELD, TX 76063-3867
(214) 210-5592
(505) 212-1939
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
07/10/2021
Last updated
09/06/2024
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