MANAGING LIFE MENTAL HEALTH CLINIC LLC


Address: 2708 Dayton Ave, Wichita Falls, TX 76301-6110
Phone: 9402762400

MANAGING LIFE MENTAL HEALTH CLINIC LLC (NPI# 1932706512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932706512
Entity Type Organization
Organization Name MANAGING LIFE MENTAL HEALTH CLINIC LLC
Practice Address 2708 Dayton Ave
Wichita Falls
TX 76301-6110
Mailing Address 4860 Rhea Road
Wichita Falls
TX 76308-4404
Practice Telephone 9402762400
Practice Fax Number 9402762403
Mailing Telephone 9402762400
Mailing Fax Number 9402762403
Enumeration Date 2020-10-06
Last Update Date 2020-10-06
Authorized Official Name DIANE SHEREE EAKINS (PMHNP)
Authorized Official Telephone 9406311141
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 2708 DAYTON AVE
City WICHITA FALLS
State TX
Zip Code 76301-6110

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679192991 Rebecca Ashley Marin Licensed Vocational Nurse 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 2020-04-16
1164077558 Melissa Ann Marshall Registered Nurse 1717 Lucile Ave, Wichita Falls, TX 76301 2019-08-02
1841760659 Edward Scott Hamilton Psychologist 710 Lamar St., Wichita Falls, TX 76301 2018-12-05
1457872681 Jennyfer A Rosado Counselor 719 Scott Ave Ste 610, Wichita Falls, TX 76301 2017-06-28
1023547676 Cale David Lennard Dentist 2405 9th St Ste A, Wichita Falls, TX 76301 2017-06-07
1790198455 Tongle Yu Family Medicine 1301 Third St, Suite 200, Wichita Falls, TX 76301 2014-06-10
1821412081 Jennifer Burbage Nurse Practitioner 1700 3rd Street, Wichita Falls, TX 76301 2014-02-09
1275871568 Jeffrey John Papak Pharmacy Technician 1610 9th Street, Wichita Falls, TX 76301 2013-01-22
1679826853 Cheryl Denise Williams Clinical Nurse Specialist 1605 10th Street, Wichita Falls, TX 76301 2012-10-24
1902199250 Tilahun Worku Belay Internal Medicine 1631 11th St Unit B, Wichita Falls, TX 76301 2011-05-19
Find all providers in zip 76301

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467078634 Jennyfer Rosado, Pllc Counselor 710 Lamar St Ste 440i, Wichita Falls, TX 76301-6837 2020-06-23
1447809330 Patrick Vincent Coyle Counselor 4500 Barbados, Wichita Falls, TX 76308-4931 2019-09-04
1457872681 Jennyfer A Rosado Counselor 719 Scott Ave Ste 610, Wichita Falls, TX 76301 2017-06-28
1326303439 Soulquest Counselor 2407 Kemp Blvd, Suite B, Wichita Falls, TX 76309-5353 2012-07-05
1679871248 Rochelle Diane Granbery Counselor 3209 Cuba Ct, Wichita Falls, TX 76309-2024 2011-03-07
1326191784 Madalyne Marie Allen Counselor 2301 Kell Blvd, Suite 215, Wichita Falls, TX 76308-1007 2007-01-19
1740344126 Ron Lee Burks Counselor 710 Denver St, Wichita Falls, TX 76301-4140 2006-12-20
1871666842 Diane Johnson Boddy Counselor 1401 Holliday St Ste 218, Wichita Falls, TX 76301-7143 2006-11-16
1376644914 Kay L Story Counselor 2910 Kemp Blvd Ste 205, Wichita Falls, TX 76308-1050 2006-09-26
1942810262 Melissa Nelson Counselor 1106 Travis St, Wichita Falls, TX 76301-4676 2020-08-02
Find all providers in WICHITA FALLS

Competitor

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City WICHITA FALLS
Zip Code 76301

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Dataset Information

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.

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