# MENTAL WELLNESS PLLC

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

## Provider details

- **NPI number:** 1245051499
- **Authorized official:** PATRICIA BROUSSARD LMFT (OWNER)
- **Authorized official phone:** (936) 264-6682

## Contact information

- **Practice address:** 26411 OAK RIDGE DR, SPRING, TX 77380-1964
- **Practice address phone:** (936) 287-3518
- **Mailing address:** 26411 OAK RIDGE DR, SPRING, TX 77380-1964
- **Mailing address phone:** (936) 287-3518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2024
- **Last updated:** 10/21/2024
