Provider Demographics
NPI:1609276088
Name:ADHD WELLNESS CENTER, INC
Entity Type:Organization
Organization Name:ADHD WELLNESS CENTER, INC
Other - Org Name:ADHD WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:KAMILAH
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-495-4365
Mailing Address - Street 1:2219 SAWDUST RD
Mailing Address - Street 2:SUITE #301
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2575
Mailing Address - Country:US
Mailing Address - Phone:281-419-2343
Mailing Address - Fax:281-419-2346
Practice Address - Street 1:2219 SAWDUST RD
Practice Address - Street 2:SUITE #301
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2575
Practice Address - Country:US
Practice Address - Phone:281-419-2343
Practice Address - Fax:281-419-2346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN75272084N0400X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty