Organization
ECCENTRIC MINDS HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA DOTRICE HORTON (OWNER)
(757) 333-0175
Entity
Organization
Contact information
Practice address
166 VALLEY ST BLDG 6M, PROVIDENCE, RI 02909-2400
(401) 682-7382
(401) 210-3750
Mailing address
735 THIMBLE SHOALS BLVD STE 130, NEWPORT NEWS, VA 23606-4428
(757) 333-0175
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
05/06/2025
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