Provider Demographics
NPI:1396592093
Name:KNOW ME THERAPY AND WELLNESS CENTER NOMIE WELLNESS
Entity type:Organization
Organization Name:KNOW ME THERAPY AND WELLNESS CENTER NOMIE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINS-BLOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:LCMH
Authorized Official - Phone:160-957-5592
Mailing Address - Street 1:12645 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4898
Mailing Address - Country:US
Mailing Address - Phone:160-957-5592
Mailing Address - Fax:
Practice Address - Street 1:12645 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4898
Practice Address - Country:US
Practice Address - Phone:160-957-5592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty