Provider Demographics
NPI:1760626741
Name:HEALTH & HEALING TOUCH WELLNESS CENTER
Entity Type:Organization
Organization Name:HEALTH & HEALING TOUCH WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WASYLYNA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:813-312-2928
Mailing Address - Street 1:1752 WALCOTT ST
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543
Mailing Address - Country:US
Mailing Address - Phone:813-312-2928
Mailing Address - Fax:813-991-6159
Practice Address - Street 1:1752 WALCOTT ST
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543
Practice Address - Country:US
Practice Address - Phone:813-312-2928
Practice Address - Fax:813-991-6159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA37193174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC4120OtherBCBS