# MCR MIND AND BODY WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mcr Mind and Body Wellness LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720891518
- **Authorized official:** DR. RICCARDA MATHENGE (CEO)
- **Authorized official phone:** (469) 207-3903

## Contact information

- **Practice address:** 5616 GROVE COVE DR, MCKINNEY, TX 75071-8333
- **Practice address phone:** (469) 207-3903
- **Mailing address:** 5616 GROVE COVE DR, MCKINNEY, TX 75071-8333
- **Mailing address phone:** (469) 207-3903

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2025
- **Last updated:** 01/28/2025