Provider Demographics
NPI:1841973146
Name:WELLNESS ELITE HEALTH PARTNERS, LLC
Entity type:Organization
Organization Name:WELLNESS ELITE HEALTH PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LACRESHA
Authorized Official - Middle Name:QUWANISH
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-701-8032
Mailing Address - Street 1:8713 AIRPORT FWY STE 310
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7608
Mailing Address - Country:US
Mailing Address - Phone:972-836-6347
Mailing Address - Fax:817-345-0671
Practice Address - Street 1:8713 AIRPORT FWY STE 310
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76180-7608
Practice Address - Country:US
Practice Address - Phone:214-729-9033
Practice Address - Fax:817-345-0671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term CareGroup - Single Specialty
No251J00000XAgenciesNursing Care