# MINDFUL BEHAVIORAL LLC

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

## Provider details

- **NPI number:** 1811867872
- **Authorized official:** SOUAD HAWKINS-EZZAHER (CEO)
- **Authorized official phone:** (817) 675-0828

## Contact information

- **Practice address:** 7227 BRISA RD, GRAND PRAIRIE, TX 75054-0089
- **Practice address phone:** (817) 675-0828
- **Mailing address:** 7227 BRISA RD, GRAND PRAIRIE, TX 75054-0089
- **Mailing address phone:** (817) 675-0828

## 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:** 11/06/2025
- **Last updated:** 11/06/2025