Ama'Ari Wellness Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AMA'ARI WELLNESS CLINIC LLC

Practice address

3634 Glenn Lakes LN Ste 198
Missouri City, TX 77459-4062

Phone

(281) 710-5232

NPI assigned

Apr 15, 2025

Organization subpart

No

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

Authorized official

Name

Debra Ejiro Maduekwe, PMHNPNPI 1811794084

Title

Ceo

Phone

(281) 710-5232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Debra Ejiro Maduekwe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Missouri City, TX
  • NPI 1811794084
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1649066853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES LN STE 198",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594062",
            "telephone_number": "281-710-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES LN STE 198",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594062",
            "telephone_number": "281-710-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMA'ARI WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MADUEKWE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "EJIRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-710-5232",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.