Organization
BLUEHAVEN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGOMENI M MBILIKIRA PMHNP (CEO)
(214) 432-1669
Entity
Organization
Contact information
Practice address
3960 BROADWAY BLVD STE 140, GARLAND, TX 75043-2593
(316) 516-4972
Mailing address
940 W FM 544 UNIT 625, WYLIE, TX 75098-3330
(214) 432-1669
(214) 416-7823
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
02/19/2024
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