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Organization
TOTALLY PSYCHED, LLC
Active
Organization
TOTALLY PSYCHED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTOPHER STEWART OLDHAM PMHNP-BC (OWNER)
(817) 689-3369
Entity
Organization
Contact information
Practice address
1223 DANIELS RD, WINTER GARDEN, FL 34787-3835
(689) 240-7945
(833) 973-2664
Mailing address
15161 NEWTONIA ST, WINTER GARDEN, FL 34787-5647
(817) 689-3369
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
05/02/2025
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