Woven Wellness Llc | |
1111 E I65 Service Rd S Ste 104-1146 Mobile AL 36606-3112 | |
(251) 873-0002 | |
Not Available |
Full Name | Woven Wellness Llc |
---|---|
Speciality | Counselor - Professional |
Location | 1111 E I65 Service Rd S Ste 104-1146, Mobile, Alabama |
Authorized Official Name and Position | Shelby Bristow (OWNER) |
Authorized Official Contact | 2518730002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Woven Wellness Llc 1111 E I65 Service Rd S Ste 104-1146 Mobile AL 36606-3112 Ph: () - | Woven Wellness Llc 1111 E I65 Service Rd S Ste 104-1146 Mobile AL 36606-3112 Ph: (251) 873-0002 |
NPI Number | 1275368722 |
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Provider Enumeration Date | 09/04/2024 |
Last Update Date | 09/04/2024 |
Certification Date | 08/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275368722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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