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LIFT VITALIZE & RESTORE PSYCHIATRIC SERVICES PLLC NPI 1144765546


NPI Information

NPI: 1144765546
Provider Name: LIFT VITALIZE & RESTORE PSYCHIATRIC SERVICES PLLC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
6625 WOOLDRIDGE RD
101
CORPUS CHRISTI, TX
ZIP 78414
Phone: (361) 356-6441
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LIFT VITALIZE & RESTORE PSYCHIATRIC SERVICES PLLC is a psychiatric/mental health clinical nurse specialist in Corpus Christi, TX. LIFT VITALIZE & RESTORE PSYCHIATRIC SERVICES PLLC NPI is 1144765546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6625 WOOLDRIDGE RD
101
CORPUS CHRISTI, TX
ZIP 78414-916
Phone: (361) 356-6441
Fax: (361) 356-6565

The provider's authorized official is Nedia N Delua-ruiz .
The authorized official title is Psychiatric Nurse Practitioner and has the following contact phone number (361) 960-2392.

The enumeration date for this NPI number is 12/21/2016 and was last updated on 12/21/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthAP132546TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11992247803OTHERTEXASNPI NUMBER

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: 11/14/2023

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