TOTAL WELLNESS CENTER LLC NPI 1306609128

NPI Information

NPI: 1306609128
Provider Name: TOTAL WELLNESS CENTER LLC
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Address: 300 W DIXIE AVE STE 200
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 982-0855

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NPI Details

TOTAL WELLNESS CENTER LLC is an adolescent and children mental health clinic center in Elizabethtown, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. TOTAL WELLNESS CENTER LLC NPI is 1306609128. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 W DIXIE AVE STE 200
ELIZABETHTOWN, KY
ZIP 42701-764
Phone: (270) 982-0855
Fax: (270) 982-0866

The provider's authorized official is Sarah Ann Manning .
The authorized official title is Owner and has the following contact phone number (502) 616-1905.

The enumeration date for this NPI number is 2/5/2024 and was last updated on 1/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QI0500X	Clinic/Center	Infusion Therapy	No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	Yes
6	261QM1300X	Clinic/Center	Multi-Specialty	No
7	261QP2300X	Clinic/Center	Primary Care	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100967850	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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