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Organization
MIND HAVEN PLLC
Active
Organization
MIND HAVEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IESHIA KIMBLE (OWNER)
(414) 520-7159
Entity
Organization
Contact information
Practice address
6114 GULLY GROVE DR, ROYSE CITY, TX 75189-3161
(414) 520-7156
Mailing address
6114 GULLY GROVE DR, ROYSE CITY, TX 75189-3161
(414) 520-7156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/24/2026
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