Southwest Agape Wellness, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUTHWEST AGAPE WELLNESS, PLLC

Practice address

4103 Wilbarger St Ste 100
Vernon, TX 76384-3137

Phone

(940) 532-8080

Fax

(940) 304-8197

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Gustavo Aleman Jr., PMHNP-BCNPI 1003388406

Title

Managing Member / Owner

Phone

(940) 532-8080

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.

• Gustavo Alcantar Aleman Jr., PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vernon, TX
  • NPI 1003388406
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777075200000",
    "number": "1699581082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 WILBARGER ST STE 100",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843137",
            "telephone_number": "940-532-8080",
            "fax_number": "940-304-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 WILBARGER ST STE 100",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843137",
            "telephone_number": "940-532-8080",
            "fax_number": "940-304-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST AGAPE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A",
        "authorized_official_last_name": "ALEMAN",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "MANAGING MEMBER / OWNER",
        "authorized_official_telephone_number": "940-532-8080",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skilled Care and Rehab Inc
• Smiles of Vernon PLLC
• Megan Brooke Smith, RDN/LD
• Todd Ripley Smith, O.D.
• Cecile G. Soliven, M.D.
• Terry Spears, R.PH.
• Francis Stodolink, FNP
• Shannon Sue Stone, FNP
• Michelle Renee Strange, PMHNP-BC
• Lindsay Rae Streit, F.N.P.

• Psychiatric/Mental Health Nurse Practitioner in Vernon, TX
• Providers in Vernon, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; 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.