| The Wellness Clinic L.l.c. | |
|
317 Central Ave N Ste 5 Faribault MN 55021-5214 | |
| (651) 354-5895 | |
| Not Available |
| Full Name | The Wellness Clinic L.l.c. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 317 Central Ave N Ste 5, Faribault, Minnesota |
| Authorized Official Name and Position | Faysel Ahmed Ali (MANAGING DIRECTOR) |
| Authorized Official Contact | 6513545895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Clinic L.l.c. 317 Central Ave N Ste 5 Faribault MN 55021-5214 Ph: (651) 354-5895 | The Wellness Clinic L.l.c. 317 Central Ave N Ste 5 Faribault MN 55021-5214 Ph: (651) 354-5895 |
| NPI Number | 1346096047 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346096047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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