Woven Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WOVEN WELLNESS, LLC

Doing business as

Woven Wellness

Practice address

805 Killian Dr
Mansfield, TX 76063-6009

Phone

(817) 271-7508

NPI assigned

Oct 4, 2019

Last updated

Oct 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lacey Eaton, LPCNPI 1861046385

Title

Owner

Phone

(817) 271-7508

Specialties & licenses 2

Addresses

Other names 1

• Woven Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lacey Eaton, LPC

  • Mental Health Counselor
  • Mansfield, TX
  • NPI 1861046385
  NPD Authorized official

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1407497050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1469",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760601469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 KILLIAN DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636009",
            "telephone_number": "817-271-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOVEN WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-271-7508",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woven Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Woods, LMSW
• Tiffany Nicole Woodus, MD
• Gail Leann Wooster, CPM
• Workforce Health System PLLC
• Stefanie Worlow
• Emily Lauren Wozobski
• Daniel E Wright, D.D.S.
• Gorpu Wright, LPC
• Joshua Dewayne Wright, PA
• Kristina Wyartt

• Professional Counselor in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.