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Organization
PURA VIDA BEHAVIORAL WELLNESS, PLLC
Active
Organization
PURA VIDA BEHAVIORAL WELLNESS, PLLC
Active
Other names
Pura Vida Behavioral Wellness, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA T MCCALLAN PMHNP (OWNER)
(214) 674-7859
Entity
Organization
Contact information
Practice address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(214) 674-7859
Mailing address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(214) 674-7859
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
11/18/2019
Last updated
11/18/2019
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