| The Wellness Lab Llc | |
|
9853 Wabash St Dyer IN 46311-7733 | |
| (219) 440-2627 | |
| Not Available |
| Full Name | The Wellness Lab Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9853 Wabash St, Dyer, Indiana |
| Authorized Official Name and Position | Anali Khalil (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2194402627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Lab Llc 9853 Wabash St Dyer IN 46311-7733 Ph: (219) 440-2627 | The Wellness Lab Llc 9853 Wabash St Dyer IN 46311-7733 Ph: (219) 440-2627 |
| NPI Number | 1174238695 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174238695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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