Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EMMANUEL BEHAVIORAL HEALTH & WELLNESS PLLC
NPI 1760338727
Clinical Nurse Specialist - Psychiatric/Mental Health in Longview, TX

Q: 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.

Active since March 10, 2026

3549 GILMER RD STE T, LONGVIEW, TX 75604(903) 260-0412(866) 877-1258 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, Apr 17, 2026, Mar 10, 2026 (3 updates tracked since 2026).

On this page

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

NPI1760338727

Entity TypeOrganization

Primary Taxonomy364SP0808X

Legal Business NameEMMANUEL BEHAVIORAL HEALTH & WELLNESS PLLC

Location Address3549 GILMER RD STE TLongview, TX 75604-1257

Mailing Address1328 Heritage Blvd, 0ffice # 5Longview, TX 75605-1472 · (903) 260-0412

Phone(903) 260-0412

Fax(866) 877-1258

Organization SubpartNo

Authorized OfficialLatonya PolkClinical Director · (903) 315-8302

Enumeration DateMarch 10, 2026

Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1760338727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0808X

3549 GILMER RD STE T, Longview, TX 75604

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

A NEW BEGINNING COMMUNITY SERVICES LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3549 GILMER RD STE T
LONGVIEW, TX 75604

Gregg County (903) 999-1983

MS. JAMIE LENA ETIENNE

Nurse Practitioner (Psychiatric/Mental Health)

3549 GILMER RD STE T
LONGVIEW, TX 75604

Gregg County (903) 315-2160

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.

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 23 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.