Healthcare Provider Details

I. General information

NPI: 1407660731
Provider Name (Legal Business Name): CT WELLNESS RN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 WOODLAND DR
VIENNA WV
26105-3320
US

IV. Provider business mailing address

1610 WOODLAND DR
VIENNA WV
26105-3320
US

V. Phone/Fax

Practice location:
  • Phone: 304-202-4140
  • Fax:
Mailing address:
  • Phone: 304-202-4140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHANA SCHLEMMER
Title or Position: OWNER
Credential: RN, BSN, NBC-HNWC
Phone: 304-202-4140