Active NPI
Holistic Balance PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Wichita Falls, TX
National Provider Identifier
1346735222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP126125
- Legal business name
- HOLISTIC BALANCE PLLC
- Practice address
- 4317 Berwick Dr
Wichita Falls, TX 76309-4812 - Phone
- (940) 781-5218
- NPI assigned
- Jun 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lavon Williams, NP
- Title
- Owner
- Phone
- (940) 781-5218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP126125 | TX | Primary |
Addresses
Primary practice location
4317 Berwick Dr
Wichita Falls, TX 76309-4812
Mailing address
4317 Berwick Dr
Wichita Falls, TX 76309-4812
Phone (940) 781-5218
Other practice location 1
2934 Kemp Blvd
Wichita Falls, TX 76308-1017
Phone (940) 691-1899
National Provider Directory
National Provider DirectoryLocations
1101 Scott Ave
Ste 28
Wichita Falls, TX 76301
Phone (940) 277-2400
2934 Kemp Blvd
Wichita Falls, TX 76308
Phone (940) 264-1960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1346735222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 BERWICK DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763094812",
"telephone_number": "940-781-5218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4317 BERWICK DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763094812",
"telephone_number": "940-781-5218"
}
],
"practiceLocations": [
{
"address_1": "2934 Kemp Blvd",
"address_purpose": "LOCATION",
"city": "Wichita Falls",
"state": "TX",
"postal_code": "763081017",
"country_code": "US",
"telephone_number": "940-691-1899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOLISTIC BALANCE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-24",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LAVON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "940-781-5218",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP126125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.