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Organization
ULTIMATE MIND AND WELLNESS CENTER, LLC
Active
Organization
ULTIMATE MIND AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAR MBC (CREDENTIALING MANAGER)
(682) 219-4077
Entity
Organization
Contact information
Practice address
1108 W PIONEER PKWY STE 100, ARLINGTON, TX 76013-7627
(321) 320-7512
Mailing address
1108 W PIONEER PKWY STE 100, ARLINGTON, TX 76013-7627
(682) 219-4077
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
04/21/2024
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