Lullabies Teentalk And Adult Psychiatric Wellness Center Llc

Nurse Practitioner · Grapevine, TX

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At a glance

1701 W Northwest Hwy Ste 100, Grapevine, TX 76051-8145

NPPES record updated Jun 30, 2025. Public records can lag behind changes at a practice.

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Practice location

1701 W Northwest Hwy Ste 100
Grapevine, TX 76051-8145

Professional details: NPI, taxonomy & registry record

NPI1629769609

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Registry details

Primary taxonomy: Nurse Practitioner
Taxonomy code: 363L00000X
Enumeration date: May 18, 2023
Record updated: Jun 30, 2025

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Nurse Practitioner

363L00000X · Primary

Family Nurse Practitioner

363LF0000X

Specialty details in registry

363LP0808X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1701 W Northwest Hwy Ste 100
Grapevine, TX 76051-8145

Phone: (817) 662-4823

Mailing address

1903 MILL POND DR

GRAPEVINE, TX 760517039

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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