AFFECTIVE MENTAL WELLNESS LLC (NPI# 1396354874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396354874 |
| Entity Type | Organization |
| Organization Name | AFFECTIVE MENTAL WELLNESS LLC |
| Practice Address |
309 Brook Shadow Cibolo TX 78108-3434 |
| Practice Telephone | 5309219592 |
| Mailing Telephone | 5309219592 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | SARA L KOENIG-LANGSTON (OWNER) |
| Authorized Official Telephone | 5309219592 |
| Authorized Official Credential | APRN, PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
309 BROOK SHADOW |
| City | CIBOLO |
| State | TX |
| Zip Code | 78108-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265095061 | Sara Louise Koenig Langston | Nurse Practitioner | 309 Brook Shadow, Cibolo, TX 78108-3434 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947180 | Urban Dental PCs | Dentist | 2451 Fh 1103, #109, Cibolo, TX 78108 | 2019-05-10 |
| 1104381474 | Cvs Pharmacy Inc | Pharmacy | 5334 Fm 1103, Schertz, TX 78108 | 2019-01-31 |
| 1497225973 | Mission Rehabilitation and Sports Medicine Limited Partnership | Physical Therapist | 232 Brite Road, Suite 113, Cibolo, TX 78108 | 2018-11-28 |
| 1417438425 | Laura Daigle | Registered Nurse | 580 Cibolo Valley Dr Ste 221, Cibolo, TX 78108 | 2018-08-27 |
| 1184102147 | Cibolo-south Texas Center for Pediatric Care | Pediatrics | 580 Cibolo Valley Drive, Suite 221, Cibolo, TX 78108 | 2018-08-01 |
| 1346732807 | Cibolo Pediatric Dentistry, Pllc | Dentist | 3738 Cibolo Valley Dr., Cibolo, TX 78108 | 2018-05-31 |
| 1285135251 | Cynthia Schuster | Licensed Vocational Nurse | 3956 Whisper Field, Cibolo, TX 78108 | 2018-02-26 |
| 1710403761 | Samuel Wyatt Hensley | Military Health Care Provider | 100 Cirrus Cv, Cibolo, TX 78108 | 2017-08-21 |
| 1033632443 | Afcc-affinity Family Care Clinic | Nurse Practitioner | 232 Brite Rd, Suite 117, Cibolo, TX 78108 | 2017-07-18 |
| 1366964744 | Hector Eduardo Pallares-hernandez | Nurse Practitioner | 409 Stonebrook Dr, Cibolo, TX 78108 | 2017-07-07 |
| Find all providers in zip 78108 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
| 1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
| 1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
| 1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
| 1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
| 1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
| 1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
| 1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.