Healthcare Provider Details

I. General information

NPI: 1902714140
Provider Name (Legal Business Name): BELLA MAE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 S PERSHING DR
LANCASTER OH
43130-1643
US

IV. Provider business mailing address

23619 WOLTZ RD
ROCKBRIDGE OH
43149-9575
US

V. Phone/Fax

Practice location:
  • Phone: 740-808-9269
  • Fax:
Mailing address:
  • Phone: 740-808-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHEYENNE GRACE MCCALL
Title or Position: LICENSED MASSAGE THERAPIST/OWNER
Credential: LMT
Phone: 740-808-1200