Provider Demographics
NPI:1982296430
Name:PARALLEL WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:PARALLEL WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:JASHUNTA
Authorized Official - Middle Name:LATIA
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-410-3059
Mailing Address - Street 1:4025 JASMINE FOX LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76005-4545
Mailing Address - Country:US
Mailing Address - Phone:469-766-7684
Mailing Address - Fax:
Practice Address - Street 1:17350 STATE HIGHWAY 249
Practice Address - Street 2:STE 220 #4479
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-7600
Practice Address - Country:US
Practice Address - Phone:469-766-7684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-05
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty