Provider Demographics
NPI:1063225027
Name:HOPEFUL MINDS PSYCHIATRY
Entity type:Organization
Organization Name:HOPEFUL MINDS PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GWENDOLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NFOTIOG
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-490-7531
Mailing Address - Street 1:777 S CENTRAL EXPY STE 1B
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-7412
Mailing Address - Country:US
Mailing Address - Phone:702-490-7531
Mailing Address - Fax:
Practice Address - Street 1:777 S CENTRAL EXPY STE 1B
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-7412
Practice Address - Country:US
Practice Address - Phone:702-490-7531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty