institution
Moonrise Mental Health Pllc
Psychiatric/Mental Health Nurse Practitioner in Nacogdoches, Texas
NPI 1720580053

Moonrise Mental Health Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Gary, TX and is specialized in Psychiatric/Mental Health. Moonrise Mental Health Pllc practices in Nacogdoches, TX. The NPI Number for Moonrise Mental Health Pllc is 1720580053 and holds a License No. AP111655 (Texas).

The current practice location address for Moonrise Mental Health Pllc is 3516 Ne Stallings Dr, Nacogdoches, TX and can be reached out via phone at 936-564-9785 and via fax at 936-564-4136.

Location: 3516 Ne Stallings Dr, Nacogdoches, TX, 75643-5435
institution
Provider Profile Details
NPI Number
1720580053
Provider Name
Moonrise Mental Health Pllc
Credential
Provider Entity Type
Organization
Address
3516 Ne Stallings Dr, Nacogdoches, TX, 75643-5435
Phone Number
936-564-9785
Fax Number
936-564-4136
Provider Enumeration Date
03/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3516 Ne Stallings Dr
City
State
Zip
75965-8732
Phone Number
936-564-9785
Fax Number
936-564-4136
person
Provider Business Mailing Address Details
Address
3516 Ne Stallings Dr
City
State
Zip
75965-8732
Phone Number
936-564-9785
Fax Number
936-564-4136
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP111655 (Texas)
Definition
Definition to come...
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