# ECCENTRIC MINDS HEALTH AND WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639821572
- **Authorized official:** NADIA DOTRICE HORTON (OWNER)
- **Authorized official phone:** (757) 333-0175

## Contact information

- **Practice address:** 166 VALLEY ST BLDG 6M, PROVIDENCE, RI 02909-2400
- **Practice address phone:** (401) 682-7382
- **Practice address fax:** (401) 210-3750
- **Mailing address:** 735 THIMBLE SHOALS BLVD STE 130, NEWPORT NEWS, VA 23606-4428
- **Mailing address phone:** (757) 333-0175

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2022
- **Last updated:** 05/06/2025