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NPI Code Detail

MEDICARE: VAGUS WELLNESS LLC

MEDICARE: VAGUS WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1275495616
Entity Type Code : Organization
Provider Name (Legal Business Name) : VAGUS WELLNESS LLC
Provider Business Mailing Address
First Line : 8357 QUAIL POINT LN
Second Line :
City : MENTOR
State : OH
Zip : 44060-2279
Country : US
Telephone Number : 216-644-7378
Fax Number : 216-644-7378
Provider Business Practice Location Address
First Line : 803 E WASHINGTON ST STE 200
Second Line :
City : MEDINA
State : OH
Zip : 44256-3326
Country : US
Telephone Number : 216-644-7378
Fax Number :
Authorized Official
Title or Position : OWNER/PRACTITIONER
Name : ELISA VALENTINE
Credential :
Telephone Number : 216-644-7378
Provider Enumeration Date : 11/24/2025
Last Update Date : 11/24/2025

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Directions to “VAGUS WELLNESS LLC ” Practice Location

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