Organization
PRIME WELLNESS CENTER LLC
Active
Other names
Reflections Lifestyle Center
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE ALBERTSON (COO)
(214) 506-3021
Entity
Organization
Contact information
Practice address
4901 WINDHAVEN PKWY STE 200, THE COLONY, TX 75056-6828
(469) 777-4688
(469) 253-6167
Mailing address
4901 WINDHAVEN PKWY STE 200, THE COLONY, TX 75056-6828
(469) 777-4688
(469) 253-6167
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4597-4667
STATE LICENSE
TX
Enumeration date
12/04/2020
Last updated
08/20/2024
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