Organization
MINDGLAMOUR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSUELA DENISE HARRIS (OWNER)
(469) 401-5133
Entity
Organization
Contact information
Practice address
1230 RIVER BEND DR STE 218, DALLAS, TX 75247-4993
(469) 401-5133
Mailing address
3763 ROYAL LN, DALLAS, TX 75229-3950
(972) 987-6184
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
08/06/2025
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