Entering Wellness Mental Health LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ENTERING WELLNESS MENTAL HEALTH LLC

Practice address

10100 N Central Expy Ste 275
Dallas, TX 75231-4458

Phone

(919) 793-6410

NPI assigned

Sep 22, 2017

Organization subpart

No

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

Authorized official

Name

Hamdiya Moore

Title

Partner

Phone

(919) 793-6410

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1366951345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8362 GAITHER ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103009",
            "telephone_number": "919-793-6410",
            "fax_number": "888-801-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 N CENTRAL EXPY STE 275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314458",
            "telephone_number": "919-793-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERING WELLNESS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "HAMDIYA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "919-793-6410"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.