Provider Demographics
NPI:1982079778
Name:NATURAL HEALING & WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:NATURAL HEALING & WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PENELOPE
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:303-495-8220
Mailing Address - Street 1:14000 E LINVALE PL
Mailing Address - Street 2:312
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3746
Mailing Address - Country:US
Mailing Address - Phone:303-495-8220
Mailing Address - Fax:
Practice Address - Street 1:2993 S PEORIA ST
Practice Address - Street 2:116
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3107
Practice Address - Country:US
Practice Address - Phone:303-597-9595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-06
Last Update Date:2015-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001280171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty