| Total Life Wellness Pllc | |
|
823 Sheridan Ln Waterloo IL 62298-3366 | |
| (618) 616-4535 | |
| Not Available |
| Full Name | Total Life Wellness Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 823 Sheridan Ln, Waterloo, Illinois |
| Authorized Official Name and Position | Kara Bordeaux (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6186164535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Life Wellness Pllc 823 Sheridan Ln Waterloo IL 62298-3366 Ph: (618) 616-4535 | Total Life Wellness Pllc 823 Sheridan Ln Waterloo IL 62298-3366 Ph: (618) 616-4535 |
| NPI Number | 1982325874 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982325874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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