Organization
COMMUNITY WELLNESS AND INTERVENTION
Active
Other names
Community Texas
Organization subpart
No
Provider details
NPI number
Authorized official
SHEONKEI M GIVNER (OWNER)
(614) 500-4150
Entity
Organization
Contact information
Practice address
951 YORK DR STE 104, DESOTO, TX 75115-2052
(216) 278-1292
Mailing address
951 YORK DR STE 104, DESOTO, TX 75115-2052
(216) 278-1292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
03/25/2024
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