Provider Demographics
NPI:1942610027
Name:ADONAI OPTIMAL HEALTH AND WELLNESS, LLC
Entity Type:Organization
Organization Name:ADONAI OPTIMAL HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHITTON
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:888-655-8489
Mailing Address - Street 1:57 PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461-2573
Mailing Address - Country:US
Mailing Address - Phone:888-655-8489
Mailing Address - Fax:888-307-4304
Practice Address - Street 1:57 PLAINS RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-2573
Practice Address - Country:US
Practice Address - Phone:888-655-8489
Practice Address - Fax:888-307-4304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000496175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty