Healthcare Provider Details

I. General information

NPI: 1093637159
Provider Name (Legal Business Name): GREENWAY WELLNESS CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

382 NE 191ST ST
MIAMI FL
33179-3899
US

IV. Provider business mailing address

382 NE 191ST ST
MIAMI FL
33179-3899
US

V. Phone/Fax

Practice location:
  • Phone: 512-387-1855
  • Fax:
Mailing address:
  • Phone: 512-387-1855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERT L THOMPKINS
Title or Position: OWNER/DIRECTOR
Credential: PHD
Phone: 512-387-1855