Provider Demographics
NPI:1518298181
Name:ADVENTURES IN WELLNESS INC
Entity Type:Organization
Organization Name:ADVENTURES IN WELLNESS INC
Other - Org Name:ADVENTURES IN WELLNESS INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LOUISA
Authorized Official - Last Name:LEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-453-3521
Mailing Address - Street 1:12970 EAST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-5710
Mailing Address - Country:US
Mailing Address - Phone:713-453-3521
Mailing Address - Fax:713-451-8214
Practice Address - Street 1:12970 EAST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-5710
Practice Address - Country:US
Practice Address - Phone:713-453-3521
Practice Address - Fax:713-451-8214
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GARCIA AND ASSOC,EAST HOUSTON PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty