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Organization
PYOU'RE LIFE BEHAVIORAL HEALTH AND WELLNESS, LLC
Active
Organization
PYOU'RE LIFE BEHAVIORAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESIAH ALLEN APRN, DNP (PMHNP-BC)
(469) 414-1225
Entity
Organization
Contact information
Practice address
539 W COMMERCE ST STE 2996, DALLAS, TX 75208-1953
(469) 414-1225
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4257
(469) 693-9548
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/06/2020
Last updated
05/23/2020
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