Organization
ULTIMATE MIND AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAR MBC (CREDENTIALING MANAGER)
(682) 219-4077
Entity
Organization
Contact information
Practice address
1108 W PIONEER PKWY STE 100, ARLINGTON, TX 76013-7627
(321) 320-7512
Mailing address
1108 W PIONEER PKWY STE 100, ARLINGTON, TX 76013-7627
(682) 219-4077
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
04/21/2024
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