Luequayn Tae Wilson, Health & Wellness Co
Health & Wellness Coach in Winter Park, FL. Individual provider (NPI-1).
NPI number1366979643
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1366979643
- Entity type
- Individual (NPI-1)
- Name
- Ms. Luequayn Tae Wilson
- Credential
- Health & Wellness Co
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2017
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | FL | Yes |
Practice location
3001 Aloma Ave # 219Winter Park, FL 32792-3752
Phone 407-497-7409
Mailing address
8923 Azalea Sands LnDavenport, FL 33896-8137
Phone 407-497-7409
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