Provider Demographics
NPI:1083023246
Name:ECWELLNESS LLC
Entity Type:Organization
Organization Name:ECWELLNESS LLC
Other - Org Name:EXPERTLY CRAFTED WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:STARN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:202-347-8200
Mailing Address - Street 1:1224 M ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-5183
Mailing Address - Country:US
Mailing Address - Phone:202-347-8200
Mailing Address - Fax:
Practice Address - Street 1:1224 M ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-5183
Practice Address - Country:US
Practice Address - Phone:202-347-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1261225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty