Provider Demographics
NPI:1346898640
Name:UNITED HEALTH AND WELLNESS INC.
Entity Type:Organization
Organization Name:UNITED HEALTH AND WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-796-1699
Mailing Address - Street 1:PO BOX 3406
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48333-3406
Mailing Address - Country:US
Mailing Address - Phone:248-796-1699
Mailing Address - Fax:
Practice Address - Street 1:23800 WEST TEN MILE RD.
Practice Address - Street 2:ROOM 105
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3199
Practice Address - Country:US
Practice Address - Phone:248-796-1699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty