Healthcare Provider Details

I. General information

NPI: 1013898881
Provider Name (Legal Business Name): INTEGRATIVE HEALERS COLLECTIVE & TEXAS NURSING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/04/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 BROADWAY AVE SUITE B
WINNIE TX
77665-7772
US

IV. Provider business mailing address

510 W BUCCANEER DR
WINNIE TX
77665-7772
US

V. Phone/Fax

Practice location:
  • Phone: 409-331-2220
  • Fax: 409-331-2221
Mailing address:
  • Phone: 409-331-2220
  • Fax: 409-331-2221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MISS VANESSA EVANS
Title or Position: MANAGING MEMBER
Credential:
Phone: 409-656-2220