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Organization
ECCENTRIC MINDS HEALTH AND WELLNESS PLLC
Active
Organization
ECCENTRIC MINDS HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA DOTRICE HORTON (OWNER)
(757) 333-0175
Entity
Organization
Contact information
Practice address
166 VALLEY ST BLDG 6M, PROVIDENCE, RI 02909-2400
(401) 682-7382
(401) 210-3750
Mailing address
735 THIMBLE SHOALS BLVD STE 130, NEWPORT NEWS, VA 23606-4428
(757) 333-0175
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
05/06/2025
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