Organization
GOLD COAST WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES KWAPONG-AYEH PMHNP (DIRECTOR)
(832) 274-5991
Entity
Organization
Contact information
Practice address
8923 SOUTHWEST FWY STE 270, HOUSTON, TX 77074
(832) 274-5991
Mailing address
8923 SOUTHWEST FWY STE 270, HOUSTON, TX 77074
(832) 274-5991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
12/18/2023
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