Organization
ROYALTY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTEL L LONG PMHNP (OWNER)
(214) 881-8985
Entity
Organization
Contact information
Practice address
1301 E PARKERVILLE RD STE A8-1073, DESOTO, TX 75115-6420
(214) 225-8814
(469) 772-5503
Mailing address
1301 E PARKERVILLE RD STE A8-1073, DESOTO, TX 75115-6420
(214) 225-8814
(469) 772-5503
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
06/13/2022
Last updated
10/16/2022
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