OUR WAY TO WELLNESS LLC NPI 1467027961

NPI Information

NPI: 1467027961
Provider Name: OUR WAY TO WELLNESS, LLC

Former Legal Business Name: OUR WAY TO WELLNESS, LLC

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
5701 SHERIDAN ST
HOLLYWOOD, FL
ZIP 33021
Phone: (305) 824-7513
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OUR WAY TO WELLNESS, LLC is a rehabilitation and substance use disorder clinic center in Hollywood, FL. OUR WAY TO WELLNESS, LLC NPI is 1467027961. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Our Way To Wellness, Llc.

The provider's business location address is:

5701 SHERIDAN ST
HOLLYWOOD, FL
ZIP 33021-241
Phone: (305) 824-7513
Fax: (954) 983-1158

The provider's authorized official is Ohara Tommie .
The authorized official title is Ceo and has the following contact phone number (305) 824-7513.

The enumeration date for this NPI number is 5/26/2021 and was last updated on 12/9/2021.

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	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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	L2000395239	OTHER	FLORIDA	SELF SUPPLEMENTAL HEALTH PLAN

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: 5/5/2024

NPI Synchronization or Removal

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