Provider Demographics
NPI:1952037095
Name:XANDER MENTAL HEALTH CLINIC
Entity Type:Organization
Organization Name:XANDER MENTAL HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER NP
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEKWUWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-235-1687
Mailing Address - Street 1:8035 E RL THRTN FWY STE 452
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-1016
Mailing Address - Country:US
Mailing Address - Phone:214-235-1687
Mailing Address - Fax:214-324-3090
Practice Address - Street 1:8035 E RL THRTN FWY STE 452
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-1016
Practice Address - Country:US
Practice Address - Phone:214-235-1687
Practice Address - Fax:214-324-3090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-30
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty