Healthcare Provider Details

I. General information

NPI: 1346187895
Provider Name (Legal Business Name): SACRED BEING WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 WILSON RD
PILOT POINT TX
76258-3633
US

IV. Provider business mailing address

5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US

V. Phone/Fax

Practice location:
  • Phone: 940-448-0652
  • Fax:
Mailing address:
  • Phone: 940-448-0652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARLA ERVIN
Title or Position: OWNER
Credential: LCSW
Phone: 940-448-0652