Provider Demographics
NPI:1346537636
Name:BOUNDLESS INC
Entity Type:Organization
Organization Name:BOUNDLESS INC
Other - Org Name:STILLPOINT ACUPUNCTURE & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIANNE
Authorized Official - Middle Name:HIPOL
Authorized Official - Last Name:GANTOUS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DIPLOM, RN
Authorized Official - Phone:757-490-7555
Mailing Address - Street 1:5269 GREENWICH RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6009
Mailing Address - Country:US
Mailing Address - Phone:757-490-7555
Mailing Address - Fax:
Practice Address - Street 1:5269 GREENWICH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6009
Practice Address - Country:US
Practice Address - Phone:757-490-7555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000449171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty