# WELLNESS LILY LLC

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

## Provider details

- **NPI number:** 1548139298
- **Authorized official:** JOCELYN M URBANO FNP, PMHNP (CEO)
- **Authorized official phone:** (214) 892-9513

## Contact information

- **Practice address:** 4732 POPLAR RIDGE DR, FORT WORTH, TX 76123-4052
- **Practice address phone:** (214) 892-9513
- **Mailing address:** PO BOX 16434, FORT WORTH, TX 76162-0434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2025
- **Last updated:** 11/03/2025