Organization
PARALLEL WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASHUNTA LATIA CARSON (APRN)
(682) 410-3059
Entity
Organization
Contact information
Practice address
17350 STATE HIGHWAY 249, STE 220 #4479, HOUSTON, TX 77064-7600
(469) 766-7684
Mailing address
4025 JASMINE FOX LN, ARLINGTON, TX 76005-4545
(469) 766-7684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
11/18/2022
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