# CEDAR CREEK WELLNESS GROUP

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

## Provider details

- **NPI number:** 1922648310
- **Authorized official:** LAUREN KAY HUGHES APRN, PMHNP-BC (CO-OWNER)
- **Authorized official phone:** (817) 675-1335

## Contact information

- **Practice address:** 1837 W MAIN ST, GUN BARREL CITY, TX 75156-4401
- **Practice address phone:** (903) 910-2294
- **Practice address fax:** (949) 577-4350
- **Mailing address:** 188 RUEDA ENCINA ST, GUN BARREL CITY, TX 75156-4302
- **Mailing address phone:** (817) 675-1335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2020
- **Last updated:** 08/30/2020