Provider Demographics
NPI:1952151086
Name:GLOBAL TELEHEALTH & PSYCH LLC
Entity type:Organization
Organization Name:GLOBAL TELEHEALTH & PSYCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBADIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-727-8831
Mailing Address - Street 1:1037 KORY DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-6979
Mailing Address - Country:US
Mailing Address - Phone:214-727-8831
Mailing Address - Fax:
Practice Address - Street 1:1037 KORY DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-6979
Practice Address - Country:US
Practice Address - Phone:214-727-8831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty