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NPI Code Detail

MEDICARE: E4RTH ALLIED HEALTH &WELLNESS LLC

MEDICARE: E4RTH ALLIED HEALTH &WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246RM2200XMedical Laboratory Technician
2251K00000XPublic Health or Welfare Agency
3261QP0905XState or Local Public Health Clinic/Center
4174H00000XHealth Educator

General Provider Information

NPI Number : 1194526285
Entity Type Code : Organization
Provider Name (Legal Business Name) : E4RTH ALLIED HEALTH &WELLNESS LLC
Provider Business Mailing Address
First Line : 2606 HILLIARD ROME RD # V124
Second Line :
City : HILLIARD
State : OH
Zip : 43026-9468
Country : US
Telephone Number : 614-305-5124
Fax Number :
Provider Business Practice Location Address
First Line : 4182 WORTH AVE SPC L-115
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1535
Country : US
Telephone Number : 614-305-5124
Fax Number :
Authorized Official
Title or Position : CEO, FOUNDER, AND WELLNESS DIRECTOR
Name : MS. LATERRA DEMETRIA MARIE SLATE
Credential : MPH, PBT/ MLT (ASCP)
Telephone Number : 614-305-5124
Provider Enumeration Date : 03/24/2025
Last Update Date : 06/08/2025

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Directions to “E4RTH ALLIED HEALTH &WELLNESS LLC ” Practice Location

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