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

Mind Bloom Wellness Center PLLC

Organization Nurse Practitioner · NPI 1467248674

Mind Bloom Wellness Center PLLC is a Nurse Practitioner in Grand Prairie, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1221 La Fiesta Dr
Grand Prairie, TX 75052-5404
Phone: (209) 486-2590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1467248674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jemima Lamptey — Ceo · (209) 486-2590
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address1221 La Fiesta Dr, Grand Prairie, TX 75052-5404

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