Provider Demographics
NPI:1851997001
Name:CLINIC WELLNESS & HAPPINESS LLC
Entity Type:Organization
Organization Name:CLINIC WELLNESS & HAPPINESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE MGER
Authorized Official - Prefix:
Authorized Official - First Name:YENY
Authorized Official - Middle Name:
Authorized Official - Last Name:RIERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-536-7861
Mailing Address - Street 1:8725 NW 18TH TER STE 206
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2629
Mailing Address - Country:US
Mailing Address - Phone:786-536-7861
Mailing Address - Fax:786-359-4468
Practice Address - Street 1:8725 NW 18TH TER STE 206
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2629
Practice Address - Country:US
Practice Address - Phone:786-536-7861
Practice Address - Fax:786-359-4468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health