| NPI | 1477795417 |
|---|---|
| Doing Business As | AVENUE 360 HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DOROTHEA NWOKEJI Credentialing Specialist 832-890-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 133N00000X Nutritionist | |
| 103TH0100X Psychologist, Health Service | |
| 261Q00000X Clinic/Center | |
| 104100000X Social Worker | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 101Y00000X Counselor | |
| 122300000X Dentist | |
| 207Q00000X Family Medicine | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 164W00000X Licensed Practical Nurse | |
| 103TC0700X Psychologist, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2026-06-12 |