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Organization

DREAM REVIVAL PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONA ODIM (PMHNP)
(469) 335-6133
Entity
Organization

Contact information

Practice address
1400 N COIT RD STE 202, MCKINNEY, TX 75071-6656
(469) 949-4941
Mailing address
1400 N COIT RD STE 202, MCKINNEY, TX 75071-6656
(469) 949-4941

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
04/01/2025
Last updated
10/22/2025
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