Provider Demographics
NPI:1699041723
Name:OMEGA WELLNESS INSTITUTE, LLC
Entity Type:Organization
Organization Name:OMEGA WELLNESS INSTITUTE, LLC
Other - Org Name:ACCURATE ACCOUNTABILITY OUTPATIENT, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-244-3701
Mailing Address - Street 1:770 E SOUTH TEMPLE STE 100
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1689
Mailing Address - Country:US
Mailing Address - Phone:801-359-0903
Mailing Address - Fax:
Practice Address - Street 1:770 E SOUTH TEMPLE STE 100
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1689
Practice Address - Country:US
Practice Address - Phone:801-359-0903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0405X
UT46D2033732291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No291U00000XLaboratoriesClinical Medical Laboratory