Provider Demographics
NPI:1558844506
Name:NEW HEIGHTS WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:NEW HEIGHTS WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:MALISSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRACY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:937-233-1755
Mailing Address - Street 1:7049 TAYLORSVILLE RD STE A
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3190
Mailing Address - Country:US
Mailing Address - Phone:937-233-1755
Mailing Address - Fax:937-233-1655
Practice Address - Street 1:7049 TAYLORSVILLE RD STE A
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3190
Practice Address - Country:US
Practice Address - Phone:937-233-1755
Practice Address - Fax:937-233-1655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-14
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty