| NPI | 1356271316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA FIELDS Owner, Provider 903-517-8408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-05-21 |
| Last Update Date | 2026-05-21 |