NPI | 1740018225 |
---|---|
Other Name | MIND PATH MENTAL HEALTH, PLLC |
Entity Type | Organization |
Authorized Contact | TERRA EDWARDS Owner, Pmhnp 701-213-4096 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-07-25 |
Last Update Date | 2024-07-25 |