Provider Demographics
NPI:1942467154
Name:STRATEGIC WELLNESS, LLC
Entity Type:Organization
Organization Name:STRATEGIC WELLNESS, LLC
Other - Org Name:STRATEGIC WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BLUEMLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:513-379-7214
Mailing Address - Street 1:2106 CHAMBER CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LAKESIDE PARK
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1669
Mailing Address - Country:US
Mailing Address - Phone:859-426-4673
Mailing Address - Fax:859-426-5175
Practice Address - Street 1:2106 CHAMBER CENTER DR
Practice Address - Street 2:
Practice Address - City:LAKESIDE PARK
Practice Address - State:KY
Practice Address - Zip Code:41017-1669
Practice Address - Country:US
Practice Address - Phone:859-426-4673
Practice Address - Fax:859-426-5175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0772101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty