LONGVIEW WELLNESS CENTER INC NPI 1023426665

NPI Information

NPI: 1023426665
Provider Name: LONGVIEW WELLNESS CENTER, INC
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
:
CLIA Number: 45D2313388
Address: 2131 S MOBBERLY AVE
LONGVIEW, TX
ZIP 75602
Phone: (903) 758-2610

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NPI Details

LONGVIEW WELLNESS CENTER, INC is a federally qualified health center (fqhc) clinic center in Longview, TX. LONGVIEW WELLNESS CENTER, INC NPI is 1023426665. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2131 S MOBBERLY AVE
LONGVIEW, TX
ZIP 75602-563
Phone: (903) 758-2610
Fax: (903) 758-7081

The provider's authorized official is Timothy Chad Jones .
The authorized official title is Chief Executive Officer and has the following contact phone number (903) 758-2610.

The CLIA number assigned to this NPI record is 45D2313388 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2014 and was last updated on 11/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	208000000X	Pediatrics		No
3	261QM1300X	Clinic/Center	Multi-Specialty	No
4	208D00000X	General Practice		No
5	1041C0700X	Social Worker	Clinical	No
6	251B00000X	Case Management		No
7	207V00000X	Obstetrics & Gynecology		No
8	101YP2500X	Counselor	Professional	No
9	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	No
10	207Q00000X	Family Medicine		No
11	261QA0005X	Clinic/Center	Ambulatory Family Planning Facility	No
12	261QP2300X	Clinic/Center	Primary Care	No
13	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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