Provider Demographics
NPI:1750195756
Name:ENLIGHTEN WELLNESS PLLC
Entity type:Organization
Organization Name:ENLIGHTEN WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDEWOR
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:OSEVWE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:832-882-8017
Mailing Address - Street 1:6302 BROADWAY ST STE 130
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7859
Mailing Address - Country:US
Mailing Address - Phone:832-882-8017
Mailing Address - Fax:832-318-6133
Practice Address - Street 1:4295 SAN FELIPE ST STE 205-B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-2942
Practice Address - Country:US
Practice Address - Phone:832-863-6257
Practice Address - Fax:832-318-6133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty