# INTEGRATED WELLNESS

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

## Provider details

- **NPI number:** 1073392627
- **Authorized official:** CURTIS D JOHNSON (OWNER)
- **Authorized official phone:** (832) 801-6508

## Contact information

- **Practice address:** 1711 ST EMANUEL ST, HOUSTON, TX 77003-5106
- **Practice address phone:** (832) 801-6508
- **Mailing address:** 1711 ST EMANUEL ST, HOUSTON, TX 77003-5106
- **Mailing address phone:** (832) 801-6508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |

## Other

- **Enumeration date:** 09/25/2023
- **Last updated:** 09/25/2023