SUPPORTIVE PSYCHIATRIC SERVICES LLC NPI 1023765286

NPI Information

  • NPI: 1023765286
  • Provider Name: SUPPORTIVE PSYCHIATRIC SERVICES LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2107 PRESIDIO CIR
    EULESS, TX
    ZIP 76040
  • Phone: (682) 314-7353

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NPI Details

SUPPORTIVE PSYCHIATRIC SERVICES LLC is a psychiatric/mental health nurse practitioner in Euless, TX. SUPPORTIVE PSYCHIATRIC SERVICES LLC NPI is 1023765286. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2107 PRESIDIO CIR
EULESS, TX
ZIP 76040-722
Phone: (682) 314-7353

The provider's authorized official is Shelly Thomas .
The authorized official title is Owner and has the following contact phone number (682) 314-7353.

The enumeration date for this NPI number is 3/8/2022 and was last updated on 3/28/2023.

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

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: 3/30/2025

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