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Organization
360 WELLNESS GROUP LLC
Active
Organization
360 WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA ROYAL (OWNER)
(713) 393-7188
Entity
Organization
Contact information
Practice address
4805 JEWEL ST STE B, HOUSTON, TX 77026-5113
(713) 393-7188
Mailing address
4805 JEWEL ST STE B, HOUSTON, TX 77026-5113
(713) 393-7188
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
06/02/2025
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