Emmanuel Behavioral Health & Wellness PLLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

EMMANUEL BEHAVIORAL HEALTH & WELLNESS PLLC

Practice address

1328 Heritage Blvd Ste 6
Longview, TX 75605-1472

Phone

(903) 260-0412

NPI assigned

Mar 10, 2026

Organization subpart

No

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

Authorized official

Name

Latonya Polk, PMHNP-BCNPI 1861551814

Title

Clinical Director

Phone

(903) 315-8302

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: admin@emmanuelbehavioralhealth.com

Practitioners 1

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

• Latonya Polk

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Longview, TX
  • NPI 1861551814
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1760338727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 HERITAGE BLVD",
            "address_2": "0FFICE # 5",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051472",
            "telephone_number": "903-260-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 HERITAGE BLVD STE 6",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051472",
            "telephone_number": "903-260-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL BEHAVIORAL HEALTH & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "903-315-8302",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@emmanuelbehavioralhealth.com",
            "affiliation": "N",
            "address_1": "1328 Heritage Blvd # 5",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756051472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Breedlove Family Practice & Aesthetics
• Ross-Jordon Elliott, M.D.
• Mandy Elswick
• Ifeanyi Emmanuel Elueze, MD PHD
• Aubren Martin Emberton, PHARMD
• Emmanuel Residential Services
• Encompass Mobile Wound Care and Wellness, PLLC
• Joanna Renee Endsley, P.T.
• Michelle Engdayehu, RN FNP
• Baylie Michele English

• Psychiatric/Mental Health Clinical Nurse Specialist in Longview, TX
• Providers in Longview, TX by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.