Organization
RETROSPECTIVE WELLNESS LLC
Active
Other names
Retrospective Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELLE KEMGRA HARRIS (CEO/OWNER)
(985) 703-2599
Entity
Organization
Contact information
Practice address
1880 S DAIRY ASHFORD RD STE 207, HOUSTON, TX 77077-4759
(832) 409-7242
Mailing address
1880 S DAIRY ASHFORD RD STE 207, HOUSTON, TX 77077-4759
(832) 409-7242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/08/2024
Last updated
07/11/2025
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