=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770020018
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOTAL WELLNESS CENTERS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/25/2017
-----------------------------------------------------
Last Update Date | 12/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 59 BOBALA RD
-----------------------------------------------------
City | HOLYOKE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01040-9689
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-584-2173
-----------------------------------------------------
Fax | 833-279-7074
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 CADILLAC DR STE 300
-----------------------------------------------------
City | BRENTWOOD
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37027-5337
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-425-0220
-----------------------------------------------------
Fax | 833-279-7074
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | MATTHEW PHILIP SMOLAREK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 412-999-5188
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------