Provider Demographics
NPI:1720884554
Name:EUNOIA PSYCHIATRY PLLC
Entity type:Organization
Organization Name:EUNOIA PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BALOK-ANGELILLI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, PMHNP
Authorized Official - Phone:646-659-1871
Mailing Address - Street 1:13115 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-2760
Mailing Address - Country:US
Mailing Address - Phone:727-437-8462
Mailing Address - Fax:727-245-8502
Practice Address - Street 1:2154 SEVEN SPRINGS BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-3910
Practice Address - Country:US
Practice Address - Phone:727-437-8462
Practice Address - Fax:727-245-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty