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PRESTIGE BEHAVIORAL HEALTH PLLC NPI 1689299752


NPI Information

NPI: 1689299752
Provider Name: PRESTIGE BEHAVIORAL HEALTH PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
800 W RENNER RD APT 3216
RICHARDSON, TX
ZIP 75080
Phone: (972) 835-1112
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PRESTIGE BEHAVIORAL HEALTH PLLC is a psychiatric/mental health nurse practitioner in Richardson, TX. PRESTIGE BEHAVIORAL HEALTH PLLC NPI is 1689299752. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 W RENNER RD APT 3216
RICHARDSON, TX
ZIP 75080-047
Phone: (972) 835-1112

The provider's authorized official is Jamie Lynn Hulm .
The authorized official title is Owner and has the following contact phone number (972) 835-1112.

The enumeration date for this NPI number is 6/14/2020 and was last updated on 7/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013475813OTHERTEXASNPI TYPE 1

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.