Collaborative Wellness Center LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

COLLABORATIVE WELLNESS CENTER LLC

Practice address

1124 Glade Rd Ste 120
Colleyville, TX 76034-4292

Phone

(817) 875-8343

NPI assigned

Jun 10, 2024

Reactivated

Sep 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Flatasha Allean Roland, CRNA, MSNANPI 1083959837

Title

Owner

Phone

(817) 875-8343

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Flatasha Allean Roland, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1083959837
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1093557381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 BALLANTRAE DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345303",
            "telephone_number": "817-875-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 GLADE RD STE 120",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344292",
            "telephone_number": "817-875-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "deactivation_date": "2024-08-09",
        "reactivation_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "FLATASHA",
        "authorized_official_middle_name": "ALLEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-875-8343",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA, MSNA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamera D Clark, ND, SLP
• Tara Lowe Clark, MD
• Kimberly Coffee, AGPCNP
• Colin Tkachuk
• Collaborative Counselor Enterprises, PLLC
• Colleyville Body Focus Spa and Wellness Dba Juvia Med Spa
• Colleyville Body Focus Wellness Clinic, LLC
• Colleyville Chiropractic, PLLC
• Colleyville Dentistry PLLC
• Colleyville Eye Corporation

• Infusion Therapy Clinic/Center in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.