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NPI Code Detail

MEDICARE: WELLNESS POINT PSYCHIATRY CONSULTANTS, PLLC

MEDICARE: WELLNESS POINT PSYCHIATRY CONSULTANTS, PLLC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1891266128
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS POINT PSYCHIATRY CONSULTANTS, PLLC
Provider Business Mailing Address
First Line : 1024 E BROAD ST STE 207
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-7702
Country : US
Telephone Number : 682-518-3334
Fax Number :
Provider Business Practice Location Address
First Line : 1024 E BROAD ST STE 207
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-7702
Country : US
Telephone Number : 682-518-3334
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BETH WANGOMBE
Credential : APRN, PMHNP-BC
Telephone Number : 682-518-3334
Provider Enumeration Date : 12/16/2018
Last Update Date : 07/30/2019

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Directions to “WELLNESS POINT PSYCHIATRY CONSULTANTS, PLLC ” Practice Location

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