| Orchid Wellness, Pllc | |
|
3620 N Josey Ln Ste 117 Carrollton TX 75007-3157 | |
| (469) 892-0194 | |
| (469) 942-7172 |
| Full Name | Orchid Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3620 N Josey Ln Ste 117, Carrollton, Texas |
| Authorized Official Name and Position | Chelsea Amoafi Debrah (OWNER) |
| Authorized Official Contact | 4698920194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchid Wellness, Pllc 3620 N Josey Ln Ste 117 Carrollton TX 75007-3157 Ph: (469) 892-0194 | Orchid Wellness, Pllc 3620 N Josey Ln Ste 117 Carrollton TX 75007-3157 Ph: (469) 892-0194 |
| NPI Number | 1073215703 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 07/03/2023 |
| Medicare PECOS PAC ID | 2264898188 |
|---|---|
| Medicare Enrollment ID | O20230519000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073215703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Chelsea A Debrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174117683 PECOS PAC ID: 6507265485 Enrollment ID: I20210526000325 |
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