| Woven Wellness, Llc | |
|
805 Killian Dr Mansfield TX 76063-6009 | |
| (817) 271-7508 | |
| Not Available |
| Full Name | Woven Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 805 Killian Dr, Mansfield, Texas |
| Authorized Official Name and Position | Lacey Eaton (OWNER) |
| Authorized Official Contact | 8172717508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woven Wellness, Llc Po Box 1469 Kennedale TX 76060-1469 Ph: () - | Woven Wellness, Llc 805 Killian Dr Mansfield TX 76063-6009 Ph: (817) 271-7508 |
| NPI Number | 1407497050 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 10/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407497050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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