Healthcare Provider Details

I. General information

NPI: 1194557694
Provider Name (Legal Business Name): EMMANUELLE QUENUM MCHES, NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 BLUFF VIEW DR APT B
GREENVILLE NC
27834-7748
US

IV. Provider business mailing address

600 GREENVILLE BLVD STE H #1025
GREENVILLE NC
27858
US

V. Phone/Fax

Practice location:
  • Phone: 252-258-2560
  • Fax:
Mailing address:
  • Phone: 252-493-6315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: