Provider Demographics
NPI:1205207602
Name:WINNELL WELLNESS CONSULTING
Entity Type:Organization
Organization Name:WINNELL WELLNESS CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WINNELL-BRAENDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-330-5836
Mailing Address - Street 1:1301 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-3002
Mailing Address - Country:US
Mailing Address - Phone:231-330-5836
Mailing Address - Fax:
Practice Address - Street 1:1301 HOWARD ST
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-3002
Practice Address - Country:US
Practice Address - Phone:231-330-5836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704214165174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty