| Avalyn Wellness And Ketamine Llc | |
|
1100 N Kimball Ave Ste 110 Southlake TX 76092-4726 | |
| (817) 251-7995 | |
| (817) 398-0016 |
| Full Name | Avalyn Wellness And Ketamine Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1100 N Kimball Ave Ste 110, Southlake, Texas |
| Authorized Official Name and Position | Steven Michael Appelhof (OWNER) |
| Authorized Official Contact | 9519568966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalyn Wellness And Ketamine Llc 1100 N Kimball Ave Ste 110 Southlake TX 76092-4726 Ph: (951) 956-8966 | Avalyn Wellness And Ketamine Llc 1100 N Kimball Ave Ste 110 Southlake TX 76092-4726 Ph: (817) 251-7995 |
| NPI Number | 1356036933 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356036933 | NPI | - | NPPES |
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