Provider Demographics
NPI:1427605088
Name:GLOBAL WELLNESS LLC
Entity Type:Organization
Organization Name:GLOBAL WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCY
Authorized Official - Middle Name:NATHALY
Authorized Official - Last Name:FONSECCA
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:954-494-0668
Mailing Address - Street 1:5911 NE 14TH LN APT 506
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334-5006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1560 SAWGRASS CORPORATE PARKWAY #447
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323
Practice Address - Country:US
Practice Address - Phone:954-494-0668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty