Provider Demographics
NPI:1942757026
Name:EVEXIA PSYCHIATRY & RECOVERY, PLLC
Entity Type:Organization
Organization Name:EVEXIA PSYCHIATRY & RECOVERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-243-3343
Mailing Address - Street 1:18170 DALLAS PKWY
Mailing Address - Street 2:SUITE 502
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7137
Mailing Address - Country:US
Mailing Address - Phone:972-243-3343
Mailing Address - Fax:972-243-7324
Practice Address - Street 1:18170 DALLAS PKWY
Practice Address - Street 2:SUITE 502
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-7137
Practice Address - Country:US
Practice Address - Phone:972-243-3343
Practice Address - Fax:972-243-7324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ4136261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health