Organization
SOKA PSYCHIATRY AND WELLNESS COMPANY PC
Active
Other names
SOKA Psychiatry & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH ROSS PMHNP (PMHNP)
(512) 460-0453
Entity
Organization
Contact information
Practice address
1508 SPENWICK TER, DALLAS, TX 75204-5531
(512) 460-0453
Mailing address
1508 SPENWICK TER, DALLAS, TX 75204-5531
(512) 460-0453
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
09/10/2025
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