Active NPI
Managing Life Mental Health Clinic LLC
- Mental Health Counselor
- Wichita Falls, TX
National Provider Identifier
1932706512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Sheree Eakins, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Registered Nurse
- Wichita Falls, TX
- NPI 1841765872
-
- Clinical Social Worker
- Wichita Falls, TX
- NPI 1952300162
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.