Organization · NPI-2

1 Health & Wellness INC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Tampa, FL

NPI number1356868657
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1356868657
Entity type
Organization (NPI-2)
Legal business name
1 Health & Wellness INC
Organization subpart
No
Enumeration date
Aug 28, 2017
Certification date
Jun 29, 2021
Last updated
Jun 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261Q00000X Clinic/CenterHCC11062FL

Practice location

2511 W Virginia Ave Ste D
Tampa, FL 33607-6310

Phone 813-252-9240 · Fax 813-252-7556

Mailing address

2511 W Virginia Ave Ste D
Tampa, FL 33607-6310

Phone 813-252-9240 · Fax 813-252-7556

Authorized official

Hany D Garbey Machin
President
8132529240

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