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AVALYN WELLNESS AND KETAMINE LLC
NPI 1356036933
Clinic/Center - Multi-Specialty in Southlake, TX

Active since April 10, 2023
1100 N KIMBALL AVE STE 110, SOUTHLAKE, TX 76092(817) 251-7995(817) 398-0016 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avalyn Wellness And Ketamine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVALYN WELLNESS AND KETAMINE LLC (NPI 1356036933) is a healthcare organization registered as a multi-specialty in Southlake, Texas and active in the NPI registry since April 2023. The organization lists Steven Michael Appelhof, Owner, as its authorized official.

NPPES Registry Identity

NPI1356036933
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAVALYN WELLNESS AND KETAMINE LLC
Location Address1100 N KIMBALL AVE STE 110Southlake, TX 76092-4726
Mailing Address1100 N Kimball Ave Ste 110Southlake, TX 76092-4726 · (951) 956-8966
Phone(817) 251-7995
Fax(817) 398-0016
Organization SubpartNo
Authorized OfficialSteven Michael AppelhofOwner · (951) 956-8966
Enumeration DateApril 10, 2023
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1356036933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
1100 N KIMBALL AVE STE 110, Southlake, TX 76092
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN MICHAEL APPELHOF CRNA
Nurse Anesthetist, Certified Registered
1100 N KIMBALL AVE STE 110
SOUTHLAKE, TX 76092
Tarrant County (817) 251-7995
DR. KEVIN M. TOU M.D.
Anesthesiology
1100 N KIMBALL AVE STE 110
SOUTHLAKE, TX 76092
Tarrant County (817) 251-7995
MRS. AMBER REAGAN CARTER FNP
Nurse Practitioner
1100 N KIMBALL AVE STE 110
SOUTHLAKE, TX 76092
Tarrant County (817) 251-7995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalyn Wellness And Ketamine LLC's NPI number?

The NPI number for Avalyn Wellness And Ketamine LLC is 1356036933. It was assigned to this organization in the NPPES registry on April 10, 2023.

Where is Avalyn Wellness And Ketamine LLC located?

Avalyn Wellness And Ketamine LLC is located at 1100 N Kimball Ave Ste 110, Southlake, TX 76092. The listed phone number is (817) 251-7995.

What is Avalyn Wellness And Ketamine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Avalyn Wellness And Ketamine LLC was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.