Provider Demographics
NPI:1649065756
Name:CYPRESS WEIGHT LOSS AND WELLNESS
Entity type:Organization
Organization Name:CYPRESS WEIGHT LOSS AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:SCALONE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:828-489-6011
Mailing Address - Street 1:710 CRAVEN ST APT 24
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-4070
Mailing Address - Country:US
Mailing Address - Phone:828-489-6011
Mailing Address - Fax:
Practice Address - Street 1:710 CRAVEN ST APT 24
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4070
Practice Address - Country:US
Practice Address - Phone:828-489-6011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service