# SUPPORTIVE WELLNESS CARE LLC

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

## Provider details

- **NPI number:** 1447990155
- **Authorized official:** ALIKE C ST JULES (DIRECTOR)
- **Authorized official phone:** (713) 927-2513

## Contact information

- **Practice address:** 12322 WILD PINE DR, HOUSTON, TX 77039-6423
- **Practice address phone:** (713) 927-2513
- **Mailing address:** 10530 ENVOY ST, HOUSTON, TX 77016-3232
- **Mailing address phone:** (713) 927-2513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/30/2022
- **Last updated:** 03/30/2022