Provider Demographics
NPI:1568759116
Name:INSTINCTIVE WELLNESS, LLC
Entity Type:Organization
Organization Name:INSTINCTIVE WELLNESS, LLC
Other - Org Name:UPPER CERVICAL HEALTH CENTERS OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JEAN GALLE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-277-0889
Mailing Address - Street 1:4995 LACROSS RD
Mailing Address - Street 2:STE. 1000
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-6542
Mailing Address - Country:US
Mailing Address - Phone:843-277-0889
Mailing Address - Fax:843-277-1628
Practice Address - Street 1:4995 LACROSS RD
Practice Address - Street 2:STE. 1000
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-6542
Practice Address - Country:US
Practice Address - Phone:843-277-0889
Practice Address - Fax:843-277-1628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty