Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eden's Vantage LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1104593789

Eden's Vantage LLC is a Psychiatric/Mental Health Nurse Practitioner in Forney, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2553 Pettus Dr
Forney, TX 75126-4172
Phone: (469) 569-5148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1104593789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emmanuel Okon — Ceo · (469) 569-5148
NPI enumeratedAugust 23, 2021
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address2553 Pettus Dr, Forney, TX 75126-4172

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