Provider Demographics
NPI:1689294589
Name:INTEGRATED HEALTH & WELLNESS SERVICES, LLC
Entity Type:Organization
Organization Name:INTEGRATED HEALTH & WELLNESS SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIEKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-310-7354
Mailing Address - Street 1:1508 PENNSYLVANIA AVE STE 1C
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4347
Mailing Address - Country:US
Mailing Address - Phone:302-427-8000
Mailing Address - Fax:833-989-2148
Practice Address - Street 1:1508 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4338
Practice Address - Country:US
Practice Address - Phone:302-310-7354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder