Provider Demographics
NPI:1750188678
Name:NEURO EDUCATION WELLNESS CENTRE
Entity type:Organization
Organization Name:NEURO EDUCATION WELLNESS CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF HEALTH EDUCATION SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:LAURYN
Authorized Official - Last Name:RIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:888-720-7567
Mailing Address - Street 1:11720 PLAZA AMERICA DR STE 2000
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-4757
Mailing Address - Country:US
Mailing Address - Phone:888-720-7567
Mailing Address - Fax:
Practice Address - Street 1:11710 PLAZA AMERICA DR STE 2000
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-4743
Practice Address - Country:US
Practice Address - Phone:888-720-7567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty