Your Wellness Choice LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

YOUR WELLNESS CHOICE LLC

Practice address

1143 Cully Rd
Cordova, TN 38018-8502

Phone

(901) 672-6410

Fax

(901) 752-8843

NPI assigned

Aug 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Imelda Williams

Title

Owner

Phone

(901) 672-6410

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093269334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7562",
            "fax_number": "317-806-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 CULLY RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188502",
            "telephone_number": "901-672-6410",
            "fax_number": "901-752-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR WELLNESS CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-672-6410"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cynthia Margaret Zeller-Gonzalez, M.S. BCBA
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• Liping Zhang, DPT
• Qiuhua Jennifer Zhang, PA

• General Practice Physician in Cordova, TN
• Providers in Cordova, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.