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NPI Code Detail

MEDICARE: CENTER FOR EMOTIONAL WELLNESS, PC

MEDICARE: CENTER FOR EMOTIONAL WELLNESS, PC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1730953449
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR EMOTIONAL WELLNESS, PC
Provider Business Mailing Address
First Line : 1602 W BUSINESS 380 STE 100
Second Line :
City : DECATUR
State : TX
Zip : 76234-3267
Country : US
Telephone Number : 940-539-0683
Fax Number :
Provider Business Practice Location Address
First Line : 1602 W BUSINESS 380 STE 100
Second Line :
City : DECATUR
State : TX
Zip : 76234-3267
Country : US
Telephone Number : 940-539-0683
Fax Number : 940-228-0651
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : KELLY SUZANNE JONES
Credential : LCSW-S
Telephone Number : 940-626-3923
Provider Enumeration Date : 11/13/2023
Last Update Date : 12/17/2025

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Directions to “CENTER FOR EMOTIONAL WELLNESS, PC ” Practice Location

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