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General NPI Number Information
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NPI Number | 1154067791
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Entity Type | Organization
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Legal Business Name | PMB WELLNESS PLLC
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 24285 KATY FWY STE 300
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City | KATY
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State | TX
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Zip | 77494-1128
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Country | US
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Telephone | 346-213-4707
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Fax | 833-218-8855
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Provider Business Mailing Address
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Address Line | 24285 KATY FWY STE 300
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City | KATY
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State | TX
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Zip | 77494-1128
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PMHNP-BC
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Name | KRISTA LEWIS
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Credential | APRN
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Telephone | 346-213-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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