# ALTERED PATHS WELLNESS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Altered Paths Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982519625
- **Authorized official:** AMANDA MANCHACK LCSW-S (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (214) 382-4730

## Contact information

- **Practice address:** 2201 SPINKS RD, STE 335, FLOWER MOUND, TX 75022
- **Practice address phone:** (682) 354-8202
- **Practice address fax:** (682) 354-8202
- **Mailing address:** 5473 BLAIR RD, SUITE 100, DALLAS, TX 75231-4227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2026
- **Last updated:** 08/25/2026