NPIMap

Organization Active NPI

Psychlife Mental Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1245945682
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PSYCHLIFE MENTAL WELLNESS LLC
Practice address
5050 Quorum Drive
Ste 700
Dallas, TX 75254
Phone
(254) 230-4345
Fax
(706) 243-4254
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Mrs. Ashley Parker Evans, PMHNP-BCNPI 1366085953
Title
Ceo & Founder
Phone
(706) 905-9327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5050 Quorum Drive
Ste 700
Dallas, TX 75254

Mailing address

510 Austin Ave Ste 25515
Waco, TX 76701-2107
Phone (888) 691-0676

National Provider Directory

National Provider Directory

Locations

345 Owen Ln
Ste 144A
Waco, TX 76710
Phone (254) 405-1974

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1245945682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 AUSTIN AVE STE 25515",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767012107",
            "telephone_number": "888-691-0676",
            "fax_number": "254-362-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 QUORUM DRIVE",
            "address_2": "STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75254",
            "telephone_number": "254-230-4345",
            "fax_number": "706-243-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHLIFE MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2025-05-06",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "706-905-9327",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.