Organization
DIVINE MENTAL WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIOMA ANWUKAH (AUTHORIZED OFFICIAL)
(682) 800-3809
Entity
Organization
Contact information
Practice address
3202 DELAFORD DR, CARROLLTON, TX 75007-3036
(682) 800-3809
Mailing address
3202 DELAFORD DR, CARROLLTON, TX 75007-3036
(682) 800-3809
(682) 316-9125
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
04/03/2025
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