Provider Demographics
NPI:1942683446
Name:YOUR HEALTH AND WELLNESS COMPANY, INC.
Entity Type:Organization
Organization Name:YOUR HEALTH AND WELLNESS COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:COVINGTON
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:MSHE
Authorized Official - Phone:704-604-3089
Mailing Address - Street 1:2920 N TRYON ST STE 212
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-2761
Mailing Address - Country:US
Mailing Address - Phone:704-604-3089
Mailing Address - Fax:
Practice Address - Street 1:2920 N TRYON ST STE 212
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-2761
Practice Address - Country:US
Practice Address - Phone:704-604-3089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2190000251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care