Provider Demographics
NPI:1245568559
Name:NATURAL HEALING THERAPY & WELLNESS CENTER
Entity Type:Organization
Organization Name:NATURAL HEALING THERAPY & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAHKIM
Authorized Official - Middle Name:H
Authorized Official - Last Name:SHABAZZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:813-728-5236
Mailing Address - Street 1:3102 W WATERS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2882
Mailing Address - Country:US
Mailing Address - Phone:813-728-5236
Mailing Address - Fax:
Practice Address - Street 1:3102 W WATERS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2882
Practice Address - Country:US
Practice Address - Phone:813-728-5236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center