Healthcare Provider Details
I. General information
NPI: 1801139043
Provider Name (Legal Business Name): ALL AROUND WELLNESS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/05/2013
Last Update Date: 02/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 CIVIC CENTER WAY
ROYAL PALM BEACH FL
33411-5000
US
IV. Provider business mailing address
18604 49TH ST N
LOXAHATCHEE FL
33470-2350
US
V. Phone/Fax
- Phone: 561-396-6640
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BARBARA
PELLICER
Title or Position: OWNER
Credential:
Phone: 561-396-6640