Provider Demographics
NPI:1962207639
Name:VIRTUAL WARRIOR WELLNESS, PLLC
Entity type:Organization
Organization Name:VIRTUAL WARRIOR WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JUSTICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-738-3456
Mailing Address - Street 1:6900 W I 40 STE 180
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2522
Mailing Address - Country:US
Mailing Address - Phone:806-738-3456
Mailing Address - Fax:806-214-3417
Practice Address - Street 1:6900 W I 40 STE 180
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2522
Practice Address - Country:US
Practice Address - Phone:806-738-3456
Practice Address - Fax:806-214-3417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty