Clinic and Wellness Centers, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

F0814245 Issued in TX

Legal business name

CLINIC AND WELLNESS CENTERS, PLLC

Practice address

2771 E Broad St Ste 217-109
Mansfield, TX 76063-9156

Phone

(817) 209-7736

NPI assigned

Dec 18, 2014

Last updated

Dec 18, 2014By 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

Ms. Lashonda Traylor, FNP-C

Title

Family Nurse Practitioner

Phone

(817) 209-7736

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1700284056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 E BROAD ST STE 217-109",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639156",
            "telephone_number": "817-209-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2771 E BROAD ST STE 217-109",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639156",
            "telephone_number": "817-209-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC AND WELLNESS CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "LASHONDA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "817-209-7736",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "F0814245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherryl Clark, LPC
• Doris Lewis Claset, LPC
• Clearminds Behavioral Health
• Clearsky Rehabilitation Hospital of Mansfield, LLC
• Tonyua Renee Cleveland, LMSW
• Clinical Practice Support Services (Mansfield Urgent Care)
• CLT Rentals, LLC (Cross Line Therapy)
• CND Therapy PLLC
• CNSN Affiliates LLC
• Daniela Coats

• Clinic/Center in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.