MEDICARE: SHANTI 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
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1801756119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANTI WELLNESS

Provider Business Mailing Address
First Line	:	7901 SCHATZ POINTE DR STE A
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3824
Country	:	US
Telephone Number	:	937-438-9841
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 SCHATZ POINTE DR STE A
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3824
Country	:	US
Telephone Number	:	937-438-9841
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIC NURSE PRACTITIONER
Name	:	NUPOOR GLASER
Credential	:
Telephone Number	:	937-269-1432

Provider Enumeration Date	:	11/18/2025
Last Update Date	:	11/18/2025

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Directions to “SHANTI WELLNESS ” Practice Location

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