# BLOOMING ARC PSYCHIATRIC CARE PLLC

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

## Provider details

- **NPI number:** 1689508996
- **Authorized official:** DIWENI EGBIDE (OWNER)
- **Authorized official phone:** (000) 000-0000

## Contact information

- **Practice address:** 777 S MAYDE CREEK DR APT 311, HOUSTON, TX 77079-6150
- **Practice address phone:** (000) 000-0000
- **Mailing address:** 777 S MAYDE CREEK DR APT 311, HOUSTON, TX 77079-6150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2026
- **Last updated:** 06/11/2026