=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285588582
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MERAKI WELLNESS & HEALING INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/24/2026
-----------------------------------------------------
Last Update Date | 02/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5979 NW 151ST ST STE 120
-----------------------------------------------------
City | MIAMI LAKES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33014-2448
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-536-4420
-----------------------------------------------------
Fax | 305-402-2910
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5979 NW 151ST ST STE 120
-----------------------------------------------------
City | MIAMI LAKES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33014-2448
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-536-4420
-----------------------------------------------------
Fax | 305-402-2910
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LINDSAY WALLICK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 786-536-4420
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171W00000X
-----------------------------------------------------
Taxonomy Name | Contractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------