Provider Demographics
NPI:1780917161
Name:ENERGIE WELLNESS SOLUTIONS
Entity type:Organization
Organization Name:ENERGIE WELLNESS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANN SMULKA BELL
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-432-1700
Mailing Address - Street 1:498 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3721
Mailing Address - Country:US
Mailing Address - Phone:540-432-1700
Mailing Address - Fax:
Practice Address - Street 1:498 UNIVERSITY BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3721
Practice Address - Country:US
Practice Address - Phone:540-432-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010451742083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty