Provider Demographics
NPI:1255094140
Name:KEMUNTO PSYCHIATRIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:KEMUNTO PSYCHIATRIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:MORAA
Authorized Official - Last Name:TOMLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:817-677-1450
Mailing Address - Street 1:2201 N COLLINS ST STE 180
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-2609
Mailing Address - Country:US
Mailing Address - Phone:817-677-1450
Mailing Address - Fax:817-549-7630
Practice Address - Street 1:2201 N COLLINS ST STE 180
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-2609
Practice Address - Country:US
Practice Address - Phone:817-677-1450
Practice Address - Fax:817-549-7630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty