Crystal Clear Mental Wellness, LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Converse, TX
NPI 1023927266 · NPPES record last updated Sep 3, 2026
Key facts
- NPI
- 1023927266
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- CRYSTAL CLEAR MENTAL WELLNESS, LLC
- Practice address
- 214 Kimberly Dr
Converse, TX 78109-1530 - Phone
- (210) 570-0214
- Fax
- (210) 429-7851
- NPI assigned
- Sep 3, 2026
- Organization subpart
- No
Authorized official
- Name
- Crystal Wade, PMHNP-BC
- Title
- Owner/Provider
- Phone
- (941) 447-4822
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
214 Kimberly Dr
Converse, TX 78109-1530
Mailing address
214 Kimberly Dr
Converse, TX 78109-1530
Phone (210) 570-0214
Other providers in Converse, TX
- Tracy Cornelius
- Christopher Daniel Cortez
- Joan Emily Coughlin
- Jeanne Crocker Welton
- Victoria Kinsey Cruz
- Tiffanie Yvonne Cuellar
- Shelvy Inez -Marie Curtis
- CVS Pharmacy Inc
- Ayriana Nichole Davis
- Krystle Nicole De la Rosa
All providers in Converse, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.