Individual
MR. CHAD CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
5405 W 151ST ST, LEAWOOD, KS 66224-8700
(682) 900-6631
(800) 416-8145
Mailing address
16 VILLAGE LN STE 200, COLLEYVILLE, TX 76034-2948
(682) 900-6631
(800) 416-8145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
133793-30
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2026003654
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209032141
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-85230-022
KS
Other
Enumeration date
06/11/2024
Last updated
02/05/2026
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