Provider Demographics
NPI:1013686773
Name:EMERGING WELLNESS, LLC
Entity Type:Organization
Organization Name:EMERGING WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KYMBERLI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-ZENO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:281-357-9606
Mailing Address - Street 1:25511 BUDDE RD STE 3601
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-4065
Mailing Address - Country:US
Mailing Address - Phone:281-357-9606
Mailing Address - Fax:281-532-8345
Practice Address - Street 1:25511 BUDDE RD STE 3601
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-4065
Practice Address - Country:US
Practice Address - Phone:281-357-9606
Practice Address - Fax:281-532-8345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty