Organization
KND BEHAVIORAL HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ONWUBUYA PMHNP (OWNER)
(661) 472-4897
Entity
Organization
Contact information
Practice address
99 REGENCY PKWY STE 113, MANSFIELD, TX 76063-7818
(972) 904-5760
(817) 592-3323
Mailing address
99 REGENCY PKWY STE 113, MANSFIELD, TX 76063-7818
(972) 904-5760
(817) 592-3323
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4177644
—
TX
05
—
417764401
—
TX
Enumeration date
10/06/2020
Last updated
03/05/2024
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