Provider Demographics
NPI:1407610702
Name:BETTER HEALTH & WELNESS CLINIC LLC
Entity Type:Organization
Organization Name:BETTER HEALTH & WELNESS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEV
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-855-0193
Mailing Address - Street 1:15504 CRYSTAL VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-6904
Mailing Address - Country:US
Mailing Address - Phone:502-855-0193
Mailing Address - Fax:
Practice Address - Street 1:9131 FERN CREEK RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-2711
Practice Address - Country:US
Practice Address - Phone:502-855-0193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty