MEDICARE: CLOSED GAP SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian
3	163WI0500X	Infusion Therapy Registered Nurse
4	225700000X	Massage Therapist
5	103TP2701X	Group Psychotherapy Psychologist
6	111N00000X	Chiropractor
7	101YM0800X	Mental Health Counselor
8	133NN1002X	Nutrition Education Nutritionist
9	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1710858006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLOSED GAP SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4100 MARKET ST STE 100
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35808-3007
Country	:	US
Telephone Number	:	256-203-3883
Fax Number	:

Provider Business Practice Location Address
First Line	:	3311 BOB WALLACE AVE SW STE 205
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35805-4064
Country	:	US
Telephone Number	:	256-690-3943
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL JEROME STURDIVANT
Credential	:
Telephone Number	:	256-203-3883

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	12/15/2025

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Directions to “CLOSED GAP SOLUTIONS LLC ” Practice Location

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