Provider Demographics
NPI:1508410358
Name:WELL HEADQUARTERS LLC
Entity Type:Organization
Organization Name:WELL HEADQUARTERS LLC
Other - Org Name:WELL HEALTH AND CHIROPRACTIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-826-5554
Mailing Address - Street 1:204 IRIS DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-2206
Mailing Address - Country:US
Mailing Address - Phone:615-826-5554
Mailing Address - Fax:
Practice Address - Street 1:204 IRIS DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-2206
Practice Address - Country:US
Practice Address - Phone:615-826-5554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty