Provider Demographics
NPI:1659139145
Name:ALBRECHT WELLNESS, PLLC
Entity Type:Organization
Organization Name:ALBRECHT WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:931-310-9362
Mailing Address - Street 1:100 GLEN ABBEY DR
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-1400
Mailing Address - Country:US
Mailing Address - Phone:931-310-9362
Mailing Address - Fax:
Practice Address - Street 1:410 E SPRING ST STE H
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-3791
Practice Address - Country:US
Practice Address - Phone:931-310-9362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care