Provider Demographics
NPI:1225725815
Name:ONE MORE DAY WELLNESS CENTER
Entity Type:Organization
Organization Name:ONE MORE DAY WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:NICKENS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN APRN AGNP-C
Authorized Official - Phone:216-273-6888
Mailing Address - Street 1:6315 PEARL RD STE 305
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3074
Mailing Address - Country:US
Mailing Address - Phone:216-273-6888
Mailing Address - Fax:216-273-6888
Practice Address - Street 1:6315 PEARL RD STE 305
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3074
Practice Address - Country:US
Practice Address - Phone:216-273-6888
Practice Address - Fax:216-273-6888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)