Elite Psychiatry Pc
LBN: Elite Psychiatry Pc
Elite Psychiatry Pc is an health care organization with primary practice located at 3901 Arlington Highlands Blvd Ste 200 , Arlington TX 76018-6050. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Elite Psychiatry Pc can be contacted via phone (817) 695-5035, or through Modisette, Raven via phone (817) 695-5035.
Contact Information
Primary practice address
3901 Arlington Highlands Blvd Ste 200
Arlington TX 76018-6050
Phone: (817) 695-5035
Fax: (817) 695-5037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | M9770 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | M9770 | Texas |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | M9770 | Texas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | M9770 | Texas |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | M9770 | Texas |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | M9770 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP137299 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP137299 | Texas |
Profile Details
| NPI number | 1770060691 |
|---|---|
| LBN Legal business name | Elite Psychiatry Pc |
| DBA Doing business as | |
| Authorized official | Modisette, Raven FNP-C, PMHNP-BC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2018 |
| Last updated | Apr 4th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770060691 | NPPES |
| Texas | Other | AP137299 | TEXAS BOARD OF NURSING |
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