Healthcare Provider Details

I. General information

NPI: 1295663045
Provider Name (Legal Business Name): WEALTH WINNER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 AUTUMN CYPRUS AVE
GASTONIA NC
28054-4072
US

IV. Provider business mailing address

2132 AUTUMN CYPRUS AVE
GASTONIA NC
28054-4072
US

V. Phone/Fax

Practice location:
  • Phone: 980-414-4747
  • Fax:
Mailing address:
  • Phone: 980-414-4747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMERE D TODD
Title or Position: OWNER / AUTHORIZED OFFICIAL
Credential: MPA
Phone: 980-414-4747