Healthcare Provider Details

I. General information

NPI: 1376478669
Provider Name (Legal Business Name): ASPEN LEAF WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8725 DAVIS BLVD STE 122
KELLER TX
76248-0309
US

IV. Provider business mailing address

8725 DAVIS BLVD STE 122
KELLER TX
76248-0309
US

V. Phone/Fax

Practice location:
  • Phone: 817-988-0230
  • Fax:
Mailing address:
  • Phone: 817-988-0230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: LINDA SARAH COLLINGS
Title or Position: DOCTOR OF ACUPUNCTURE
Credential: DACCHM, L.AC
Phone: 817-988-0230