Provider Demographics
NPI:1780104752
Name:THE HEALTH & WELLNESS CENTER
Entity type:Organization
Organization Name:THE HEALTH & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-845-7920
Mailing Address - Street 1:216 GAULT AVE N
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35967-2104
Mailing Address - Country:US
Mailing Address - Phone:256-845-7920
Mailing Address - Fax:256-467-8530
Practice Address - Street 1:216 GAULT AVE N
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35967-2104
Practice Address - Country:US
Practice Address - Phone:256-845-7920
Practice Address - Fax:256-467-8530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty