Provider Demographics
NPI:1447771084
Name:24/7 PSYCHIATRY & MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:24/7 PSYCHIATRY & MENTAL HEALTH SERVICES
Other - Org Name:24/7 PSYCHIATRY & MENTAL HEALTH PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHIATRY PHYSICIAN ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:INEAMA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:682-559-2160
Mailing Address - Street 1:1201 N WATSON RD STE 265
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6286
Mailing Address - Country:US
Mailing Address - Phone:682-559-2160
Mailing Address - Fax:817-294-9611
Practice Address - Street 1:4932 BARN OWL TRL
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-1963
Practice Address - Country:US
Practice Address - Phone:682-559-2160
Practice Address - Fax:817-294-9611
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYNAMIC RPA HEALTHCARE PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TX056092084P0800X, 261QM0801X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty