Managing Life Mental Health Clinic LLC
NPI #1932706512 in Wichita Falls, Texas
Provider Information
- NPI Number
- 1932706512
- Entity Type
- Organization
- Organization Name
- Managing Life Mental Health Clinic LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 6, 2020
- Last Updated
- Apr 28, 2021
Practice Location
- Address
- 1708 DAYTON AVE
- City
- Wichita Falls
- State
- Texas
- ZIP Code
- 76301-6110
- Phone
- (940) 500-4408
Authorized Official
- Name
- DIANE SHEREE EAKINS, NP
- Title
- OWNER
- Phone
- (940) 500-4408
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Counselor - Mental Health — Mental Health |
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