Woven Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WOVEN WELLNESS LLC

Practice address

5901 Airport Blvd Ste 100
Mobile, AL 36608-3169

Phone

(251) 873-0002

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

Shelby Bristow, LPCNPI 1609550706

Title

Owner

Phone

(251) 202-7005

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Woven Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Woven Wellness LLC

  • Professional Counselor
  • Mobile, AL
  • NPI 1417788696
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelby Bristow, LPC

  • Professional Counselor
  • Mobile, AL
  • NPI 1609550706
  NPD Authorized official

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1275368722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 AIRPORT BLVD STE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 AIRPORT BLVD STE 100",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083169",
            "telephone_number": "251-873-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E I65 Service Rd S Ste 104-1146",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366063112",
            "country_code": "US",
            "telephone_number": "251-873-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1290 Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365268624",
            "country_code": "US",
            "telephone_number": "251-202-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOVEN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BRISTOW",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-202-7005",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "438283",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazel Woodward, LPC
• David Wooster
• Samantha Catlett Wooten, CRNP
• Worthy Medical Supply Inc.
• Jewleshia Woulard
• Woven Wellness LLC
• Ali Wren, M.S.CCC-SLP
• Al'Caeus F. Wright, LPC
• Alexandria Wright
• Darah Noel Wright, M.D.

• Professional Counselor in Mobile, AL
• Providers in Mobile, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.