Healthcare Provider Details

I. General information

NPI: 1669367629
Provider Name (Legal Business Name): PRIME HEALING SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5703 WHITE BIRCH RUN
SPRING TX
77386-3845
US

IV. Provider business mailing address

5703 WHITE BIRCH RUN
SPRING TX
77386-3845
US

V. Phone/Fax

Practice location:
  • Phone: 281-808-6393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SH1100X
TaxonomyHolistic Clinical Nurse Specialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. JUANITA GOLDEN-ALLEN
Title or Position: MEMBER
Credential:
Phone: 219-306-9633