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Organization
STATE OF MIND PSYCHIATRY, LLC
Active
Organization
STATE OF MIND PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA KENNEDY DNP (PMHNP)
(817) 393-2061
Entity
Organization
Contact information
Practice address
4364 WESTERN CENTER BLVD # 2221, FORT WORTH, TX 76137-2043
(817) 393-2061
Mailing address
4364 WESTERN CENTER BLVD # 2221, FORT WORTH, TX 76137-2043
(817) 393-2061
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
10/05/2022
Last updated
10/05/2022
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