Organization
MCR MIND AND BODY WELLNESS LLC
Active
Other names
Mcr Mind and Body Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICCARDA MATHENGE (CEO)
(469) 207-3903
Entity
Organization
Contact information
Practice address
5616 GROVE COVE DR, MCKINNEY, TX 75071-8333
(469) 207-3903
Mailing address
5616 GROVE COVE DR, MCKINNEY, TX 75071-8333
(469) 207-3903
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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