| Total Mental Wellness, Pllc | |
|
2411 Virginia Pkwy Ste 7 Mckinney TX 75071-3508 | |
| (972) 712-0591 | |
| (972) 421-1527 |
| Full Name | Total Mental Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2411 Virginia Pkwy Ste 7, Mckinney, Texas |
| Authorized Official Name and Position | Jami Mayorga Dickson (PRESIDENT) |
| Authorized Official Contact | 9727120591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Mental Wellness, Pllc 4072 Briar Tree Ln Frisco TX 75034-3868 Ph: (972) 712-0591 | Total Mental Wellness, Pllc 2411 Virginia Pkwy Ste 7 Mckinney TX 75071-3508 Ph: (972) 712-0591 |
| NPI Number | 1942689559 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 07/28/2020 |
| Medicare PECOS PAC ID | 5991095135 |
|---|---|
| Medicare Enrollment ID | O20160601000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942689559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP119548 (Texas) | Secondary |
| Provider Name | Jami M Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629386644 PECOS PAC ID: 9931386349 Enrollment ID: I20110613000623 |
| Provider Name | Nancy J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578843330 PECOS PAC ID: 3870537764 Enrollment ID: I20120103000611 |
| Provider Name | Jacqueline Ann Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780187609 PECOS PAC ID: 2567726813 Enrollment ID: I20180514001608 |
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