OrganizationActive
360 Wellness Group LLC
NPI 1891529020 · Psychiatric/Mental Health Nurse Practitioner · Houston, TX
Provider details
- NPI number
- 1891529020
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tasha Royal, Owner(713) 393-7188
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4805 Jewel St Ste B
Houston, TX 77026-5113
Phone: (713) 393-7188
Approximate (ZIP-level) locationGet directions
Mailing address
4805 Jewel St Ste B
Houston, TX 77026-5113
Registry dates
- Enumerated
- 2024-08-29
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.