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Organization
WITHERSPOON MENTAL HEALTH AND WELLNESS, PLLC
Active
Organization
WITHERSPOON MENTAL HEALTH AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA WITHERSPOON APRN (ADVANCED PRACTICE NURSE)
(972) 716-2969
Entity
Organization
Contact information
Practice address
610 UPTOWN BLVD STE 2000, CEDAR HILL, TX 75104-3528
(972) 716-2969
Mailing address
610 UPTOWN BLVD STE 2000, CEDAR HILL, TX 75104-3528
(972) 716-2969
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447809983
NPI2
TX
Enumeration date
09/07/2019
Last updated
02/02/2023
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