Organization
EXCEPTIONAL WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNIKA BLATE (ADMINISTRATOR)
(281) 674-8568
Entity
Organization
Contact information
Practice address
2440 TEXAS PKWY STE 335, MISSOURI CITY, TX 77489-4098
(281) 674-8568
Mailing address
2440 TEXAS PKWY STE 335, MISSOURI CITY, TX 77489-4098
(281) 674-8568
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/10/2019
Last updated
04/09/2024
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