MEDICARE: GLOBAL LIFE VIRTUAL STRESS & LIFESTYLE WELLNESS SERVICES

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
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1912869660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL LIFE VIRTUAL STRESS & LIFESTYLE WELLNESS SERVICES

Provider Business Mailing Address
First Line	:	15814 CHAMPION FOREST DR UNIT 405
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7141
Country	:	US
Telephone Number	:	346-341-5661
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 N GOULD ST
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-6317
Country	:	US
Telephone Number	:	346-341-5661
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	CHERON K GRIFFIN
Credential	:
Telephone Number	:	404-437-3994

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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