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NPI Code Detail

MEDICARE: THE DW WELLNESS INSTITUTE LTD

MEDICARE: THE DW WELLNESS INSTITUTE LTD
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1194670703
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE DW WELLNESS INSTITUTE LTD
Provider Business Mailing Address
First Line : 5589 DUNHAM RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-3657
Country : US
Telephone Number : 216-282-4232
Fax Number :
Provider Business Practice Location Address
First Line : 5589 DUNHAM RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-3657
Country : US
Telephone Number : 216-282-4232
Fax Number :
Authorized Official
Title or Position : CEO
Name : TIARA NEAL
Credential : LPCC
Telephone Number : 216-282-4232
Provider Enumeration Date : 02/27/2026
Last Update Date : 02/27/2026

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