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Prime Wellness Center Pllc
Children's Substance Abuse Rehabilitation Facility in The Colony, Texas
NPI 1548865678

Prime Wellness Center Pllc is a Children's Substance Abuse Rehabilitation Facility based in The Colony, TX and is specialized in Substance Abuse Treatment, Children. Prime Wellness Center Pllc practices in The Colony, TX. The NPI Number for Prime Wellness Center Pllc is 1548865678 and holds a License No. (Texas).

The current practice location address for Prime Wellness Center Pllc is 4901 Windhaven Pkwy Ste 200, The Colony, TX and can be reached out via phone at 469-777-4688 and via fax at 469-253-6167.

Location: 4901 Windhaven Pkwy Ste 200, The Colony, TX, 75056-6828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548865678
Provider Name
Prime Wellness Center Pllc
Credential
Provider Entity Type
Organization
Address
4901 Windhaven Pkwy Ste 200, The Colony, TX, 75056-6828
Phone Number
469-777-4688
Fax Number
469-253-6167
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4597-4667 01 TX STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4901 Windhaven Pkwy Ste 200
City
The Colony
State
Texas
Zip
75056-6828
Phone Number
469-777-4688
Fax Number
469-253-6167
person
Provider Business Mailing Address Details
Address
4901 Windhaven Pkwy Ste 200
City
The Colony
State
Texas
Zip
75056-6828
Phone Number
469-777-4688
Fax Number
469-253-6167
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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