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Organization
CEDAR CREEK WELLNESS GROUP
Active
Organization
CEDAR CREEK WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN KAY HUGHES APRN, PMHNP-BC (CO-OWNER)
(817) 675-1335
Entity
Organization
Contact information
Practice address
1837 W MAIN ST, GUN BARREL CITY, TX 75156-4401
(903) 910-2294
(949) 577-4350
Mailing address
188 RUEDA ENCINA ST, GUN BARREL CITY, TX 75156-4302
(817) 675-1335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
08/30/2020
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