Provider Demographics
NPI:1811663685
Name:ARPEGGIO WELLNESS COACHING
Entity type:Organization
Organization Name:ARPEGGIO WELLNESS COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CERTIFIED WELLNESS COACH
Authorized Official - Prefix:
Authorized Official - First Name:TAMATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:CWC
Authorized Official - Phone:224-475-9838
Mailing Address - Street 1:38847 N LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:BEACH PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60099-3311
Mailing Address - Country:US
Mailing Address - Phone:224-475-9838
Mailing Address - Fax:
Practice Address - Street 1:222 E WISCONSIN AVE STE 4
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1701
Practice Address - Country:US
Practice Address - Phone:224-475-9838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date: