Provider Demographics
NPI:1619740032
Name:RESILIENT MIND PSYCHIATRIC SERVICES PLLC
Entity type:Organization
Organization Name:RESILIENT MIND PSYCHIATRIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:KWAME
Authorized Official - Last Name:DAPAAH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:694-166-1194
Mailing Address - Street 1:806 BIRDIE DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5109
Mailing Address - Country:US
Mailing Address - Phone:469-416-6119
Mailing Address - Fax:
Practice Address - Street 1:539 W COMMERCE ST STE 2568
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-1953
Practice Address - Country:US
Practice Address - Phone:469-416-6119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty