EMMANUEL BEHAVIORAL HEALTH & WELLNESS PLLC
NPI 1760338727
Clinical Nurse Specialist - Psychiatric/Mental Health in Longview, TX
About Emmanuel Behavioral Health & Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMMANUEL BEHAVIORAL HEALTH & WELLNESS PLLC (NPI 1760338727) is a healthcare organization registered as a psychiatric/mental health in Longview, Texas and active in the NPI registry since March 2026. The organization lists Latonya Polk, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emmanuel Behavioral Health & Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Emmanuel Behavioral Health & Wellness PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Emmanuel Behavioral Health & Wellness PLLC's NPI number?
The NPI number for Emmanuel Behavioral Health & Wellness PLLC is 1760338727. It was assigned to this organization in the NPPES registry on March 10, 2026.
Where is Emmanuel Behavioral Health & Wellness PLLC located?
Emmanuel Behavioral Health & Wellness PLLC is located at 3549 Gilmer Rd Ste T, Longview, TX 75604. The listed phone number is (903) 260-0412.
What is Emmanuel Behavioral Health & Wellness PLLC's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.
Is Emmanuel Behavioral Health & Wellness PLLC enrolled in Medicare?
Yes. Emmanuel Behavioral Health & Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Emmanuel Behavioral Health & Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Emmanuel Behavioral Health & Wellness PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Emmanuel Behavioral Health & Wellness PLLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.
# Emmanuel Behavioral Health & Wellness Pllc · NPI 1760338727
Psychiatric/Mental Health organization in Longview, Texas. Organization record, active in the CMS NPPES registry since March 10, 2026.
## Identity
- **NPI:** 1760338727 (Entity type: Organization)
- **Enumerated:** March 10, 2026
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health · taxonomy 364SP0808X
- **Organization subpart:** No
- **Authorized official:** Latonya Polk, CLINICAL DIRECTOR
## Practice location
- **Address:** 3549 GILMER RD STE T, Longview, TX 75604-1257
- **Phone:** (903) 260-0412 · **Fax:** (866) 877-1258
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760338727) · Data from the CMS NPPES public registry.