# LIFE AND WELLNESS CENTER

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

## Provider details

- **NPI number:** 1710748389
- **Authorized official:** GEORGIA DIXON NURSE PRACTITIONER (ADMINISTRATOR)
- **Authorized official phone:** (347) 933-1741

## Contact information

- **Practice address:** 310 N GRAY ST, KILLEEN, TX 76541-5245
- **Practice address phone:** (347) 933-1741
- **Practice address fax:** (949) 996-4211
- **Mailing address:** 310 N GRAY ST, KILLEEN, TX 76541-5245
- **Mailing address phone:** (347) 933-1741
- **Mailing address fax:** (949) 996-4211

## Taxonomy

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

## Other

- **Enumeration date:** 01/19/2024
- **Last updated:** 08/05/2026
