# CHARIS MIND & BODY WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063302602
- **Authorized official:** NNEDI NWOSU PMHNP (OWNER)
- **Authorized official phone:** (469) 258-0778

## Contact information

- **Practice address:** 5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
- **Practice address phone:** (469) 258-0778
- **Mailing address:** 4714 BUNGALOW DR, GARLAND, TX 75043-6469
- **Mailing address phone:** (469) 258-0778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 07/07/2025