Provider Demographics
NPI:1679268734
Name:T&H HEALTH AND WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:T&H HEALTH AND WELLNESS CENTER LLC
Other - Org Name:T&H HEALTH AND WELLNESS CENTER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-600-4302
Mailing Address - Street 1:8822 N 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-5315
Mailing Address - Country:US
Mailing Address - Phone:602-440-8141
Mailing Address - Fax:
Practice Address - Street 1:8822 N 43RD AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-5315
Practice Address - Country:US
Practice Address - Phone:602-440-8141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health