# GOLDEN CENTURY WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Century Wellness PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336907245
- **Authorized official:** JAMILLE J EDWARDS LCPC (IL) LPC-S (TX) (COUNSELOR)
- **Authorized official phone:** (708) 320-8444

## Contact information

- **Practice address:** 1020 BRAND LN APT 316, STAFFORD, TX 77477-5759
- **Practice address phone:** (224) 509-5510
- **Mailing address:** 1020 BRAND LN, STAFFORD, TX 77477-5757
- **Mailing address phone:** (708) 320-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 06/12/2025