Xavier Wellness Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

XAVIER WELLNESS CENTER LLC

Practice address

4817 Brentwood Stair Rd Ste 105
Ft Worth, TX 76103-1734

Phone

(214) 228-3072

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Nicole Washington

Title

Q

Phone

(214) 228-3072

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1689254666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 BRENTWOOD STAIR RD STE 105",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761031734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 BRENTWOOD STAIR RD STE 105",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761031734",
            "telephone_number": "214-228-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAVIER WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "Q",
        "authorized_official_telephone_number": "214-228-3072"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee A Wynne, WHNP
• Mallory Wyrick, PA-C
• Scott R. Wysowski, PA-C
• Pamela Anna Wysuph
• Katy Kourtney Wyszynski, DO, MS
• Ann Xavier
• Christy Ann Xavier, PHARMD
• Da Xiao
• Henry Q Xiong, M.D.
• Noemi Xochicale

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.