Edith Marie Mendoza
NP | Nurse Practitioner - Psych/Mental Health
2485 E Southlake Blvd Ste 100, Southlake
Texas, 76092-6687
817-873-0590
Edith Marie Mendoza is a Southlake, Texas based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Edith Marie Mendoza is AP1088173 for Psych/Mental Health in Texas. Her current practice location is 2485 E Southlake Blvd Ste 100, Southlake. Patients can reach her at 817-873-0590 or can fax her at 817-873-0591. Edith Marie Mendoza is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1720713969.
Edith Marie Mendoza provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Edith Marie Mendoza speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Edith Marie Mendoza |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 2485 E Southlake Blvd Ste 100, Southlake,
Texas, 76092-6687 |
| Phone: | 817-873-0590 |
| Fax: | 817-873-0591 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1720713969 |
| NPI Enumeration Date: | 21 Jul, 2022 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edith Marie Mendoza are as mentioned below.
| License Number | Specialization | State | Status | |
| AP1088173 | Psych/Mental Health | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Edith Marie Mendoza such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| AP1088173 | Other | Texas | APRN |
| 630874 | Other | Texas | RN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Edith Marie Mendoza
2485 E Southlake Blvd Ste 100,
Southlake, Texas |
| Zip: | 76092-6687 |
| Phone Number: | 817-873-0590 |
| Fax Number: | 817-873-0591 |
Patients can reach Edith Marie Mendoza at
2485 E Southlake Blvd Ste 100, Southlake, Texas or can
call to book an appointment on 817-873-0590.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.