Organization Active NPI

Holistic Balance PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1346735222
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP126125 Issued in TX
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

Updated by the provider on Dec 13, 2024

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.