Provider Demographics
NPI:1245897248
Name:INTUITIVE WELLNESS LLC
Entity type:Organization
Organization Name:INTUITIVE WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLIFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:845-702-1295
Mailing Address - Street 1:5 TOKENEKE RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-4605
Mailing Address - Country:US
Mailing Address - Phone:203-900-4033
Mailing Address - Fax:475-328-4083
Practice Address - Street 1:22 GROVE ST
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-4514
Practice Address - Country:US
Practice Address - Phone:203-900-4033
Practice Address - Fax:475-328-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty