TWO ROADS WELLNESS CLINIC LLC NPI 1639927296

NPI Information

  • NPI: 1639927296
  • Provider Name: TWO ROADS WELLNESS CLINIC, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 15D2300651
  • Address: 318 4TH ST
    COVINGTON, IN
    ZIP 47932
  • Phone: (765) 231-4193

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NPI Details

TWO ROADS WELLNESS CLINIC, LLC is a primary care clinic center in Covington, IN. TWO ROADS WELLNESS CLINIC, LLC NPI is 1639927296. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

318 4TH ST
COVINGTON, IN
ZIP 47932-274
Phone: (765) 231-4193

The provider's authorized official is Jessica Nemecz .
The authorized official title is Owner and has the following contact phone number (217) 651-6801.

The CLIA number assigned to this NPI record is 15D2300651 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2024 and was last updated on 2/4/2025.

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 License Number License State Primary
1101Y00000XCounselorNo
2261QP2300XClinic/CenterPrimary CareYes
3261QR1300XClinic/CenterRural HealthNo

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: 11/21/2025

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