OrganizationActive
Avalyn Wellness and Ketamine LLC
NPI 1356036933 · Multi-Specialty Clinic/Center · Southlake, TX
Provider details
- NPI number
- 1356036933
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Appelhof, Owner(951) 956-8966
Specialties & taxonomies
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1100 N Kimball Ave Ste 110
Southlake, TX 76092-4726
Phone: (817) 251-7995
Fax: (817) 398-0016
Approximate (ZIP-level) locationGet directions
Mailing address
1100 N Kimball Ave Ste 110
Southlake, TX 76092-4726
Registry dates
- Enumerated
- 2023-04-10
- Last updated
- 2024-01-11
- Certified
- 2024-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.