Provider Demographics
NPI:1033754114
Name:G2 WELLNESS INC.
Entity Type:Organization
Organization Name:G2 WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GARBE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:512-964-0158
Mailing Address - Street 1:2905 CORBIN LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-5509
Mailing Address - Country:US
Mailing Address - Phone:512-964-0158
Mailing Address - Fax:512-964-0158
Practice Address - Street 1:15500 W HWY 71 STE B-250
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-2813
Practice Address - Country:US
Practice Address - Phone:512-387-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center