RELIEF MENTAL HEALTH CONSULTANTS PLLC


Address: 2640 Venice Dr Unit 4, Grand Prairie, TX 75054-6626
Phone: 3185187451

RELIEF MENTAL HEALTH CONSULTANTS PLLC (NPI# 1538784004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538784004
Entity Type Organization
Organization Name RELIEF MENTAL HEALTH CONSULTANTS PLLC
Practice Address 2640 Venice Dr Unit 4
Grand Prairie
TX 75054-6626
Practice Telephone 3185187451
Mailing Telephone 3185187451
Enumeration Date 2020-06-10
Last Update Date 2020-06-10
Authorized Official Name DOMINIQUE R WILSON (PRESIDENT)
Authorized Official Telephone 3185187451
Authorized Official Credential ANP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2640 VENICE DR UNIT 4
City GRAND PRAIRIE
State TX
Zip Code 75054-6626

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

Search similar providers

City GRAND PRAIRIE
Zip Code 75054

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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