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

Supportive Minds Professional Limited Liability Company

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1083308746

Supportive Minds Professional Limited Liability Company is a Psychiatric/Mental Health Nurse Practitioner in Richmond, Texas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

23607 Ortensia St
Richmond, TX 77406-1588
Phone: (405) 549-6290
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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 number1083308746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mafon Fomujang — Co-Owner · (405) 549-6290
NPI enumeratedJune 6, 2023
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023
Mailing address23607 Ortensia St, Richmond, TX 77406-1588

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