Provider Demographics
NPI:1508164534
Name:TRU INTEGRATIVE HEALTH AND WELLNESS, LLC
Entity Type:Organization
Organization Name:TRU INTEGRATIVE HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:TRUAX
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:404-421-2524
Mailing Address - Street 1:3091 E SHADOWLAWN AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2481
Mailing Address - Country:US
Mailing Address - Phone:404-421-2524
Mailing Address - Fax:
Practice Address - Street 1:3091 E SHADOWLAWN AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2481
Practice Address - Country:US
Practice Address - Phone:404-421-2524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
GA006120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty