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NPI Code Detail

MEDICARE: WOODSTREAM WELLNESS

MEDICARE: WOODSTREAM WELLNESS
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
2163WP0808XPsychiatric/Mental Health Registered Nurse
31041C0700XClinical Social Worker
42084P0800XPsychiatry Physician
5363A00000XPhysician Assistant
6363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1265001234
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOODSTREAM WELLNESS
Provider Business Mailing Address
First Line : 9049 SPRINGBORO PIKE
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-4926
Country : US
Telephone Number : 937-759-0545
Fax Number : 937-759-0549
Provider Business Practice Location Address
First Line : 9049 SPRINGBORO PIKE
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-4926
Country : US
Telephone Number : 937-759-0545
Fax Number : 937-759-0549
Authorized Official
Title or Position : OWNER
Name : EMILIE ANN BREEDING
Credential : PMHNP-BC
Telephone Number : 513-229-7585
Provider Enumeration Date : 06/23/2021
Last Update Date : 03/02/2026

Similar Medicare Providers

1114876489 — MR. COREY ALLEN ALSEPT PMHNP-BC
Practice Location Address:
9049 SPRINGBORO PIKE
MIAMISBURG, OH
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Practice Phone: 937-759-0545
Practice Fax: 937-759-0549
1598179863 — MRS. JAMIE LYNN MCGUIRE MS, AG-ACNP-BC
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1538630975 — WENDY L HOLDSWORTH
Practice Location Address:
9049 SPRINGBORO PIKE
MIAMISBURG, OH
45342-4926
Practice Phone: 937-759-0545
Practice Fax:
1548726383 — MEGAN A ABRAMS LISW-S
Practice Location Address:
9049 SPRINGBORO PIKE
MIAMISBURG, OH
45342-4926
Practice Phone: 937-759-0545
Practice Fax: 937-759-0549
1093364911 — WHITNEY RONDELL ROSEN PA-C
Practice Location Address:
9049 SPRINGBORO PIKE
MIAMISBURG, OH
45342-4926
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Practice Fax: 937-759-0549
1619510989 — MRS. JANET LEE NEAL APRN
Practice Location Address:
9049 SPRINGBORO PIKE
MIAMISBURG, OH
45342-4926
Practice Phone: 937-759-0545
Practice Fax: 937-759-0549

Directions to “WOODSTREAM WELLNESS ” Practice Location

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