PSYCHLIFE MENTAL WELLNESS LLC NPI 1245945682

NPI Information

NPI: 1245945682
Provider Name: PSYCHLIFE MENTAL WELLNESS LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
345 OWEN LN STE 144A
WACO, TX
ZIP 76710
Phone: (254) 230-4345
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PSYCHLIFE MENTAL WELLNESS LLC is a psychiatric/mental health nurse practitioner in Waco, TX. PSYCHLIFE MENTAL WELLNESS LLC NPI is 1245945682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

345 OWEN LN STE 144A
WACO, TX
ZIP 76710-587
Phone: (254) 230-4345
Fax: (254) 362-2064

The provider's authorized official is Ashley Parker Evans .
The authorized official title is Ceo & Founder and has the following contact phone number (706) 905-9327.

The enumeration date for this NPI number is 1/19/2023 and was last updated on 5/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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