GLC Wellness Center Austin

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GLC WELLNESS CENTER AUSTIN

Practice address

3781 Paradise Hills Dr Apt 29201
Euless, TX 76040-2413

Phone

(816) 419-5756

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Collins Watts Harris IVNPI 1942819842

Title

Ceo

Phone

(816) 419-5756

Specialties & licenses 2

Addresses

Practitioners 1

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

• Collins Watts Harris IV

  • Mental Health Counselor
  • Del Valle, TX
  • NPI 1942819842
  NPD Authorized official

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1639788243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 PARADISE HILLS DR APT 29201",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760402413",
            "telephone_number": "816-419-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 PARADISE HILLS DR APT 29201",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760402413",
            "telephone_number": "816-419-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLC WELLNESS CENTER AUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2022-06-04",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_middle_name": "WATTS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-419-5756",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generational Therapy PLLC
• Patricia Evelyn Geymer, NP
• Navneet K Gill, MD
• Hannah Makenzie Gillispie
• Glade Modern Dentistry and Orthodontics, PC
• Azmeena A Goawala
• Angel Gooden
• Robin Renee Green
• Lakshmi P Gujju, MD
• Geeta Gulati

• General Practice Physician in Euless, TX
• Providers in Euless, TX by specialty
• General Practice Physician in Texas

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