# MIND HAVEN BEHAVIORAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mind Haven Behavioral Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285206250
- **Authorized official:** NONYE FRANCES NWOKORO (OWNER)
- **Authorized official phone:** (214) 210-5592

## Contact information

- **Practice address:** 733 HIGHWAY 287 N STE 407, MANSFIELD, TX 76063-3867
- **Practice address phone:** (214) 210-5592
- **Practice address fax:** (505) 212-1939
- **Mailing address:** 733 HIGHWAY 287 N STE 407, MANSFIELD, TX 76063-3867
- **Mailing address phone:** (214) 210-5592
- **Mailing address fax:** (505) 212-1939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2021
- **Last updated:** 09/06/2024