# LIFESPAN PSYCHIATRY AND WELLNESS CENTER PLLC

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

## Provider details

- **NPI number:** 1548877541
- **Authorized official:** RICHARD E YOUNG PMHNP-BC (MANAGING MEMBER)
- **Authorized official phone:** (713) 636-3889

## Contact information

- **Practice address:** 8700 COMMERCE PARK DR STE 220, HOUSTON, TX 77036-7431
- **Practice address phone:** (713) 636-3889
- **Practice address fax:** (832) 649-4403
- **Mailing address:** 8700 COMMERCE PARK DR STE 220, HOUSTON, TX 77036-7431
- **Mailing address phone:** (713) 636-3889
- **Mailing address fax:** (832) 649-4403

## 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:** 09/24/2020
- **Last updated:** 01/04/2021