Organization
ENLIGHTENED MIND THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENEIDA MIRANDA DO (PSYCHIATRIST/OWNER)
(917) 634-5311
Entity
Organization
Contact information
Practice address
3805 MESA VERDE DR, ROCKWALL, TX 75032-7112
(917) 634-5311
Mailing address
3805 MESA VERDE DR, ROCKWALL, TX 75032-7112
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
10/25/2024
Last updated
10/30/2024
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