Organization
LIFESPAN PSYCHIATRY AND WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E YOUNG PMHNP-BC (MANAGING MEMBER)
(713) 636-3889
Entity
Organization
Contact information
Practice address
8700 COMMERCE PARK DR STE 220, HOUSTON, TX 77036-7431
(713) 636-3889
(832) 649-4403
Mailing address
8700 COMMERCE PARK DR STE 220, HOUSTON, TX 77036-7431
(713) 636-3889
(832) 649-4403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
01/04/2021
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