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Contact Information

ALLEGIANCE MENTAL HEALTH & WELLNESS SERVICES LLC
605 AUSTIN AVE
WACO, TX76701-2048
 Phone: 254-900-7986
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Behavior Technician

106S00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health & Wellness Coach

171400000X
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Registered Nurse

163W00000X
 

Social Worker

104100000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ALLEGIANCE MENTAL HEALTH & WELLNESS SERVICES LLC

NPI # 1760107387
LBN Legal business name ALLEGIANCE MENTAL HEALTH & WELLNESS SERVICES LLC
Authorized official THEOPHLIUS WATSON - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2022
Last updated 03/21/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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