| Enlightened Mind Therapeutics Llc | |
|
3805 Mesa Verde Dr Rockwall TX 75032-7112 | |
| (917) 634-5311 | |
| Not Available |
| Full Name | Enlightened Mind Therapeutics Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3805 Mesa Verde Dr, Rockwall, Texas |
| Authorized Official Name and Position | Eneida Miranda (PSYCHIATRIST/OWNER) |
| Authorized Official Contact | 9176345311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlightened Mind Therapeutics Llc 3805 Mesa Verde Dr Rockwall TX 75032-7112 Ph: () - | Enlightened Mind Therapeutics Llc 3805 Mesa Verde Dr Rockwall TX 75032-7112 Ph: (917) 634-5311 |
| NPI Number | 1508688227 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508688227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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