Organization
PYOU'RE LIFE BEHAVIORAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESIAH ALLEN APRN, DNP (PMHNP-BC)
(469) 414-1225
Entity
Organization
Contact information
Practice address
539 W COMMERCE ST STE 2996, DALLAS, TX 75208-1953
(469) 414-1225
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4257
(469) 693-9548
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/06/2020
Last updated
05/23/2020
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