| Healing Waters Wellness Center, Llc | |
|
9695 Lebanon Rd Ste 340 Mount Juliet TN 37122-5541 | |
| (833) 432-5987 | |
| Not Available |
| Full Name | Healing Waters Wellness Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9695 Lebanon Rd Ste 340, Mount Juliet, Tennessee |
| Authorized Official Name and Position | Janet Pelmore (CEO) |
| Authorized Official Contact | 8334325987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Waters Wellness Center, Llc 5543 Edmondson Pike Ste 197 Nashville TN 37211-5808 Ph: () - | Healing Waters Wellness Center, Llc 9695 Lebanon Rd Ste 340 Mount Juliet TN 37122-5541 Ph: (833) 432-5987 |
| NPI Number | 1730698622 |
|---|---|
| Provider Enumeration Date | 09/24/2017 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730698622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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