Provider Demographics
NPI:1639440001
Name:WELLNESS HEIGHTS LLC
Entity Type:Organization
Organization Name:WELLNESS HEIGHTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SLETTEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-668-5974
Mailing Address - Street 1:2136 YALE ST
Mailing Address - Street 2:STE. B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2528
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2136 YALE ST
Practice Address - Street 2:STE. B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2528
Practice Address - Country:US
Practice Address - Phone:832-668-5974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11795261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center