Provider Demographics
NPI:1265602023
Name:WELLNESS HEALTH CHOICE, LLC
Entity type:Organization
Organization Name:WELLNESS HEALTH CHOICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:413-896-7737
Mailing Address - Street 1:WELLNESS HEALTH CHOICE, LLC
Mailing Address - Street 2:118 WASHINGTON STREET SUITE 27
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1373
Mailing Address - Country:US
Mailing Address - Phone:508-429-8003
Mailing Address - Fax:
Practice Address - Street 1:118 WASHINGTON STREET
Practice Address - Street 2:SUITE 27
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-1373
Practice Address - Country:US
Practice Address - Phone:508-429-8003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-08
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1823305S00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Single Specialty