Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Custommadeimagehealth and Wellness

Organization Adult Psychiatric/Mental Health Registered Nurse · NPI 1417730631

Custommadeimagehealth and Wellness is an Adult Psychiatric/Mental Health Registered Nurse in Allen, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

825 Watters Creek Blvd Ste 250
Allen, TX 75013-3770
Phone: (214) 945-3702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0809X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1417730631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tonya Williams — Nurse Practitioner · (214) 945-3702
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing address1972 Sunny Side Dr, Little Elm, TX 75068-7803