Organization
MARLISHA'S MENTAL FITNESS LLC
Active
Other names
Mind Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLISHA LORRAINE THOMAS PMHNP-BC (OWNER/ PROVIDER)
(662) 440-0301
Entity
Organization
Contact information
Practice address
425 PINSON RD STE M, FORNEY, TX 75126-9774
(469) 457-2163
(469) 242-9833
Mailing address
425 PINSON RD STE M, FORNEY, TX 75126-9774
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/22/2022
Last updated
02/15/2022
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