Provider Demographics
NPI:1982850889
Name:GLOBAL WELLNESS, INC.
Entity Type:Organization
Organization Name:GLOBAL WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:HOOGHEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LADC
Authorized Official - Phone:612-275-6982
Mailing Address - Street 1:219 ROBIE ST E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55107-2325
Mailing Address - Country:US
Mailing Address - Phone:612-275-6982
Mailing Address - Fax:
Practice Address - Street 1:219 ROBIE ST E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55107-2325
Practice Address - Country:US
Practice Address - Phone:612-275-6982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health