| Managing Life Mental Health Clinic Llc | |
|
4706 Brookdale Dr Ste 1 Wichita Falls TX 76310-3270 | |
| (940) 500-4408 | |
| (940) 386-1318 |
| Full Name | Managing Life Mental Health Clinic Llc |
|---|---|
| Speciality | Counselor |
| Location | 4706 Brookdale Dr Ste 1, Wichita Falls, Texas |
| Authorized Official Name and Position | Diane Sheree Eakins (OWNER) |
| Authorized Official Contact | 9405004408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Managing Life Mental Health Clinic Llc 4860 Rhea Rd Wichita Falls TX 76308-4404 Ph: (940) 500-4408 | Managing Life Mental Health Clinic Llc 4706 Brookdale Dr Ste 1 Wichita Falls TX 76310-3270 Ph: (940) 500-4408 |
| NPI Number | 1932706512 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 03/05/2026 |
| Certification Date | 03/05/2026 |
| Medicare PECOS PAC ID | 9436560638 |
|---|---|
| Medicare Enrollment ID | O20201119000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932706512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Thomas J Cleary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952300162 PECOS PAC ID: 2466525407 Enrollment ID: I20080723000733 |
| Provider Name | Diane Sheree Eakins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841765872 PECOS PAC ID: 1254752090 Enrollment ID: I20200602002047 |
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