# MEDI-PSYCH E & M, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medipsych Counseling Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467694935
- **Authorized official:** MS. GERALDINE M DISNARD MSN, MPH, ARNP-BC (OWNER/AUTHORIZED AGENT)
- **Authorized official phone:** (817) 694-4978

## Contact information

- **Practice address:** 3115 FORT WORTH HWY, \# 200, HUDSON OAKS, TX 76087-8720
- **Practice address phone:** (817) 694-4978
- **Practice address fax:** (817) 448-9088
- **Mailing address:** 3115 FORT WORTH HWY, \# 200, HUDSON OAKS, TX 76087-8720
- **Mailing address phone:** (817) 694-4978
- **Mailing address fax:** (817) 448-9088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | ARNP9274840 | FL | Yes |

## Other

- **Enumeration date:** 03/30/2009
- **Last updated:** 11/04/2010