Montgomery Holistic Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MONTGOMERY HOLISTIC WELLNESS

Practice address

4758 Woodmere Blvd Ste F5063
Montgomery, AL 36106-3075

Phone

(334) 603-0220

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Tela S Sanders, LPCNPI 1184383564

Title

Counselor

Phone

(334) 538-9457

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tela S Sanders

  • Professional Counselor
  • Montgomery, AL
  • NPI 1184383564
  NPD Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1487482790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 ELLIS DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361083920",
            "telephone_number": "334-538-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 WOODMERE BLVD STE F5063",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063075",
            "telephone_number": "334-603-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY HOLISTIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "TELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "334-538-9457",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Montgomery Medical Clinic Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.