Provider Demographics
NPI:1891266128
Name:WELLNESS POINT PSYCHIATRY CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:WELLNESS POINT PSYCHIATRY CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WANGOMBE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PMHNP-BC
Authorized Official - Phone:682-518-3334
Mailing Address - Street 1:1024 E BROAD ST STE 207
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7702
Mailing Address - Country:US
Mailing Address - Phone:682-518-3334
Mailing Address - Fax:
Practice Address - Street 1:1024 E BROAD ST STE 207
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7702
Practice Address - Country:US
Practice Address - Phone:682-518-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty