Organization Active NPI

Managing Life Mental Health Clinic LLC

  • Mental Health Counselor
  • Wichita Falls, TX
National Provider Identifier
1932706512
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MANAGING LIFE MENTAL HEALTH CLINIC LLC
Practice address
4706 Brookdale Dr Ste 1
Wichita Falls, TX 76310-3270
Phone
(940) 500-4408
Fax
(940) 386-1318
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Diane Sheree Eakins, NPNPI 1841765872
Title
Owner
Phone
(940) 500-4408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

4706 Brookdale Dr Ste 1
Wichita Falls, TX 76310-3270

Mailing address

4860 Rhea Rd
Wichita Falls, TX 76308-4404
Phone (940) 500-4408

Other practice location 1

1708 Dayton Ave
Wichita Falls, TX 76301-6110
Phone (940) 500-4408 ext. 3

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201119000358 TX Part B Supplier - Clinic/Group Practice 9436560638 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Locations

4706 Brookdale Dr
Ste 1
Wichita Falls, TX 76310
Phone (940) 500-4408

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1932706512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 RHEA RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763084404",
            "telephone_number": "940-500-4408",
            "fax_number": "940-386-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 BROOKDALE DR STE 1",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103270",
            "telephone_number": "940-500-4408",
            "fax_number": "940-386-1318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Dayton Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763016110",
            "country_code": "US",
            "telephone_number": "940-500-4408 x3",
            "fax_number": "940-386-1318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANAGING LIFE MENTAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "EAKINS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "SHEREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-500-4408",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.