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NPI Code Detail

MEDICARE: URBAN WELLNESS ASSOCIATES, LLC

MEDICARE: URBAN WELLNESS ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)
2261QA0600XAdult Day Care Clinic/Center
3251B00000XCase Management Agency
4101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720650351
Entity Type Code : Organization
Provider Name (Legal Business Name) : URBAN WELLNESS ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 25807 WESTHEIMER PKWY STE 302
Second Line :
City : KATY
State : TX
Zip : 77494-5342
Country : US
Telephone Number : 832-862-5950
Fax Number : 346-396-3590
Provider Business Practice Location Address
First Line : 25807 WESTHEIMER PKWY STE 302
Second Line :
City : KATY
State : TX
Zip : 77494-5342
Country : US
Telephone Number : 832-862-5950
Fax Number : 346-396-3590
Authorized Official
Title or Position : OWNER
Name : MS. BRITTNEY N WASHINGTON
Credential : LPC-S
Telephone Number : 832-862-5950
Provider Enumeration Date : 07/13/2021
Last Update Date : 06/27/2024

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Directions to “URBAN WELLNESS ASSOCIATES, LLC ” Practice Location

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