PRIME WELLNESS CENTER LLC NPI 1073371779

NPI Information

  • NPI: 1073371779
  • Provider Name: PRIME WELLNESS CENTER LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • CLIA Number: 45D2312558
  • Address: 4901 WINDHAVEN PKWY STE 200
    THE COLONY, TX
    ZIP 75056
  • Phone: (469) 777-4688

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NPI Details

PRIME WELLNESS CENTER LLC is a clinical social worker in The Colony, TX. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. PRIME WELLNESS CENTER LLC NPI is 1073371779. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4901 WINDHAVEN PKWY STE 200
THE COLONY, TX
ZIP 75056-828
Phone: (469) 777-4688
Fax: (469) 253-6167

The provider's authorized official is Luke Albertson .
The authorized official title is Coo and has the following contact phone number (469) 777-4688.

The CLIA number assigned to this NPI record is 45D2312558 - other - php and iop center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2024 and was last updated on 6/4/2025.

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 License Number License State Primary
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalYes

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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