Provider Demographics
NPI:1457063620
Name:YOUR WELLNESS PRACTICE, PLLC
Entity Type:Organization
Organization Name:YOUR WELLNESS PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR AND MANAGING MEMBE
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BABBITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-337-9010
Mailing Address - Street 1:4295 SAN FELIPE ST., STE 205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027
Mailing Address - Country:US
Mailing Address - Phone:713-337-9010
Mailing Address - Fax:888-539-6807
Practice Address - Street 1:4295 SAN FELIPE ST., STE 205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:713-337-9010
Practice Address - Fax:888-539-6807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty