Healthcare Provider Details

I. General information

NPI: 1396077004
Provider Name (Legal Business Name): CONNECTED WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2010
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12501 BEL RED RD 108
BELLEVUE WA
98005-2509
US

IV. Provider business mailing address

PO BOX 97
BELLEVUE WA
98009-0097
US

V. Phone/Fax

Practice location:
  • Phone: 425-450-0100
  • Fax: 425-450-0200
Mailing address:
  • Phone: 425-450-0100
  • Fax: 425-450-0200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00001073
License Number StateWA

VIII. Authorized Official

Name: DR. MICHELLE MARY TURCOTTE
Title or Position: MEDICAL DIRECTOR
Credential: ND
Phone: 425-450-0100