| Wellness Wave Inc. | |
|
8326 S Coral Circle North Lauderdale FL 33068 | |
| (954) 770-7546 | |
| Not Available |
| Full Name | Wellness Wave Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8326 S Coral Circle, North Lauderdale, Florida |
| Authorized Official Name and Position | Tennile Nembhard (CO) |
| Authorized Official Contact | 9542668362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Wave Inc. 1150 Nw 72nd Ave Ste 455 Miami FL 33126-1947 Ph: (954) 770-7546 | Wellness Wave Inc. 8326 S Coral Circle North Lauderdale FL 33068 Ph: (954) 770-7546 |
| NPI Number | 1386455400 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386455400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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