Healthcare Provider Details
I. General information
NPI: 1013382597
Provider Name (Legal Business Name): HEALTH AND WELLNESS SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2015
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
715 E 5TH ST SUITE 214
CHARLOTTE NC
28202-3001
US
IV. Provider business mailing address
715 E 5TH ST SUITE 214
CHARLOTTE NC
28202-3001
US
V. Phone/Fax
- Phone: 704-909-7954
- Fax:
- Phone: 704-909-7954
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | 4252 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
ARNIE
WYNN
Title or Position: OWNER
Credential: D.C.
Phone: 704-909-7954