Provider Demographics
NPI:1265230106
Name:INFINITY WELLNESS AND BEYOND LLC
Entity type:Organization
Organization Name:INFINITY WELLNESS AND BEYOND LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:KAMESHA
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-465-8097
Mailing Address - Street 1:10245 NC 145
Mailing Address - Street 2:
Mailing Address - City:MORVEN
Mailing Address - State:NC
Mailing Address - Zip Code:28119-6740
Mailing Address - Country:US
Mailing Address - Phone:704-465-8097
Mailing Address - Fax:
Practice Address - Street 1:10245 NC 145
Practice Address - Street 2:
Practice Address - City:MORVEN
Practice Address - State:NC
Practice Address - Zip Code:28119-6740
Practice Address - Country:US
Practice Address - Phone:704-465-8097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management