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Organization

SOUTHWEST AGAPE WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GUSTAVO ALEMAN JR. PMHNP-BC (MANAGING MEMBER / OWNER)
(940) 532-8080
Entity
Organization

Contact information

Practice address
4103 WILBARGER ST STE 100, VERNON, TX 76384-3137
(940) 532-8080
(940) 304-8197
Mailing address
4103 WILBARGER ST STE 100, VERNON, TX 76384-3137
(940) 532-8080
(940) 304-8197

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
12/10/2024
Last updated
04/25/2026
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