TOTAL MENTAL WELLNESS, PLLC (NPI# 1942689559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942689559 |
| Entity Type | Organization |
| Organization Name | TOTAL MENTAL WELLNESS, PLLC |
| Practice Address |
2411 Virginia Pkwy Ste 7 Mckinney TX 75071-3508 |
| Mailing Address |
4072 Briar Tree Ln Frisco TX 75034-3868 |
| Practice Telephone | 9727120591 |
| Practice Fax Number | 9724211527 |
| Mailing Telephone | 9727120591 |
| Mailing Fax Number | 9724211527 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | JAMI MAYORGA DICKSON (PRESIDENT) |
| Authorized Official Telephone | 9727120591 |
| Authorized Official Credential | MSN, APN, PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP119548 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2411 VIRGINIA PKWY STE 7 |
| City | MCKINNEY |
| State | TX |
| Zip Code | 75071-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093243347 | Neneh J Brewah | Counselor | 2411 Virginia Pkwy Ste 7, Mckinney, TX 75071-3508 | 2017-05-31 |
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|---|---|---|---|---|
| 1285256636 | Bear Dental Corp | Dentist | 210 N. Coit Rd., Mckinney, TX 75071 | 2020-05-08 |
| 1295377018 | Emily Brooke Woodmansee | Speech-Language Pathologist | 2720 Virginia Pkwy #300, Mckinney, TX 75071 | 2019-10-14 |
| 1457838542 | Komeka Biddle | Counselor | 4300 Community Avenue, Mckinney, TX 75071 | 2018-07-23 |
| 1235620386 | Sithandiwe Mahlamvana | Registered Nurse | 2217 Jocelyn Way, Mckinney, TX 75071 | 2018-05-24 |
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| 1699294918 | Zuva Healthcare Services, LLC | Home Health | 5225 Pinewood Dr, Mckinney, TX 75071 | 2017-09-18 |
| 1568984300 | Changes Premier Health, LLC | Social Worker | 1820 N Lake Forest Drive, Mckinney, TX 75071 | 2017-07-13 |
| 1053847418 | Chinenye Emereole | Pharmacist | 2808 Arbury Dr, Mckinney, TX 75071 | 2017-05-04 |
| 1912441254 | Talo Paris Physicians, Pllc | Specialist | 5100 Eldorado, Ste 102 #715, Mckinney, TX 75071 | 2016-12-06 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1063991701 | Empower2wellness LLC | Clinic/Center | 4801 Medical Center Dr Ste C, Mckinney, TX 75069-1885 | 2018-08-13 |
| 1831736313 | Unity Wellness Group | Clinic/Center | 1701 Eldorado Pkwy Ste 202, Mckinney, TX 75069-8069 | 2019-12-04 |
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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.