Provider Demographics
NPI:1346954062
Name:CERELAI, LLC
Entity Type:Organization
Organization Name:CERELAI, LLC
Other - Org Name:WHOLE HEALTH COACH & MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LMT/HWC
Authorized Official - Phone:210-802-2597
Mailing Address - Street 1:7738 BRISBANE BND
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-1965
Mailing Address - Country:US
Mailing Address - Phone:210-802-2597
Mailing Address - Fax:855-398-8080
Practice Address - Street 1:1846 N LOOP 1604 W STE 205
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-4541
Practice Address - Country:US
Practice Address - Phone:210-802-2597
Practice Address - Fax:822-398-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty