Provider Demographics
NPI:1689180325
Name:HEALTH AND WELLBEING GREENVILLE
Entity Type:Organization
Organization Name:HEALTH AND WELLBEING GREENVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BALTZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-546-8406
Mailing Address - Street 1:152 MILESTONE WAY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-6606
Mailing Address - Country:US
Mailing Address - Phone:864-546-8406
Mailing Address - Fax:
Practice Address - Street 1:152 MILESTONE WAY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-6606
Practice Address - Country:US
Practice Address - Phone:828-782-0790
Practice Address - Fax:828-782-0790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC296171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty