Organization
HEALTHY MINDS FOR HEALTHY LIVES-PEDIATRIC MENTAL HEALTH AND WELLNESS
Active
Other names
Healthy Minds for Healthy Lives
Organization subpart
No
Provider details
NPI number
Authorized official
MERRILL LEE WOOD APRN, CPNP-PC (OWNER)
(940) 217-6720
Entity
Organization
Contact information
Practice address
2207 BROOK AVE STE A, WICHITA FALLS, TX 76301-6139
(940) 217-6720
Mailing address
2207 BROOK AVE STE A, WICHITA FALLS, TX 76301-6139
(940) 217-6720
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1633747917
—
TX
Enumeration date
03/21/2022
Last updated
06/16/2023
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