| Replenishing Wellness, Llc | |
|
807 W Highway 50 Ste 3 O Fallon IL 62269-1856 | |
| (618) 347-4129 | |
| (618) 247-4487 |
| Full Name | Replenishing Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 807 W Highway 50 Ste 3, O Fallon, Illinois |
| Authorized Official Name and Position | Ashanti Muhammad-pittman (OWNER) |
| Authorized Official Contact | 6183474129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Replenishing Wellness, Llc 5850 Macklind Ave Unit 100 Saint Louis MO 63109-3569 Ph: (618) 347-4129 | Replenishing Wellness, Llc 807 W Highway 50 Ste 3 O Fallon IL 62269-1856 Ph: (618) 347-4129 |
| NPI Number | 1871361352 |
|---|---|
| Provider Enumeration Date | 12/14/2023 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871361352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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