Organization
EMMANUEL BEHAVIORAL HEALTH & WELLNESS PLLC
Active
Organization
EMMANUEL BEHAVIORAL HEALTH & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA POLK PMHNP-BC (CLINICAL DIRECTOR)
(903) 315-8302
Entity
Organization
Contact information
Practice address
1328 HERITAGE BLVD STE 6, LONGVIEW, TX 75605-1472
(903) 260-0412
Mailing address
1328 HERITAGE BLVD, 0FFICE # 5, LONGVIEW, TX 75605-1472
(903) 260-0412
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
04/17/2026
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