Provider Demographics
NPI:1376072702
Name:NEW LEAF WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:NEW LEAF WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:214-699-9117
Mailing Address - Street 1:1652 W FRANKFORD RD APT 410
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-4660
Mailing Address - Country:US
Mailing Address - Phone:770-630-6957
Mailing Address - Fax:770-630-6957
Practice Address - Street 1:3900 S STONEBRIDGE DR STE 804
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-8059
Practice Address - Country:US
Practice Address - Phone:214-699-9117
Practice Address - Fax:855-313-8506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13363111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty