Organization
BODY MIND COMBINED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SWEENEY WEATHERSBY APRN (PMHNP-BC)
(601) 832-5310
Entity
Organization
Contact information
Practice address
13800 CORTES DE PALLAS DR, LITTLE ELM, TX 75068-1065
(601) 832-5310
Mailing address
13800 CORTES DE PALLAS DR, LITTLE ELM, TX 75068-1065
(601) 832-5310
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
01/01/2022
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