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 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. 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 Elliott 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:
Map and Directions
Authorized official contact:
Name: Modisette, Raven Elliott FNP-C, PMHNP-BC
Phone: (817) 695-5035

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X M9770 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1952888265
LBN Legal business name Elite Psychiatry Pc
DBA Doing business as Elite Psychiatry Pc
Authorized official Modisette, Raven Elliott FNP-C, PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2018
Last updated May 16th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952888265 NPPES
Texas Other M9770 TX MEDICAL BOARD
Texas Other AP137299 TX MEDICAL BOARD

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