Healthcare Provider Details

I. General information

NPI: 1942096144
Provider Name (Legal Business Name): ADOM WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 ALEXANDRIA PIKE STE 111
COLD SPRING KY
41076-3529
US

IV. Provider business mailing address

4150 ALEXANDRIA PIKE STE 111
COLD SPRING KY
41076-3529
US

V. Phone/Fax

Practice location:
  • Phone: 513-304-0307
  • Fax: 855-393-8538
Mailing address:
  • Phone: 513-304-0307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE SAVILL
Title or Position: CEO
Credential: NP
Phone: 513-304-0307