Provider Demographics
NPI:1639052269
Name:MINDFULLY MENDED PSYCHIATRY PLLC
Entity type:Organization
Organization Name:MINDFULLY MENDED PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEHL
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, PMHNP-BC
Authorized Official - Phone:806-317-5138
Mailing Address - Street 1:240 E RENFRO ST STE 203
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-3940
Mailing Address - Country:US
Mailing Address - Phone:972-955-7474
Mailing Address - Fax:972-955-2480
Practice Address - Street 1:240 E RENFRO ST STE 203
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-3940
Practice Address - Country:US
Practice Address - Phone:972-955-7474
Practice Address - Fax:972-955-2480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty