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Divine Behavioral Health Clinic Pllc
Psychiatric/Mental Health Nurse Practitioner in Dallas, Texas
NPI 1689456691

Divine Behavioral Health Clinic Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Mansfield, TX and is specialized in Psychiatric/Mental Health. Divine Behavioral Health Clinic Pllc practices in Dallas, TX. The NPI Number for Divine Behavioral Health Clinic Pllc is 1689456691 and holds a License No. (Texas).

The current practice location address for Divine Behavioral Health Clinic Pllc is 539 W Commerce St Ste 5507, Dallas, TX and can be reached out via phone at 817-874-2965.

Location: 539 W Commerce St Ste 5507, Dallas, TX, 76063-4337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689456691
Provider Name
Divine Behavioral Health Clinic Pllc
Credential
Provider Entity Type
Organization
Address
539 W Commerce St Ste 5507, Dallas, TX, 76063-4337
Phone Number
817-874-2965
Fax Number
Provider Enumeration Date
10/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
539 W Commerce St Ste 5507
City
Dallas
State
Texas
Zip
75208-1953
Phone Number
817-874-2965
Fax Number
person
Provider Business Mailing Address Details
Address
539 W Commerce St Ste 5507
City
Dallas
State
Texas
Zip
75208-1953
Phone Number
817-874-2965
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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