Glorified Body Wellspa LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

GLORIFIED BODY WELLSPA LLC

Practice address

6331 Jessie LN
Clemmons, NC 27012-9887

Phone

(336) 520-5485

NPI assigned

Aug 24, 2026

Organization subpart

No

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

Authorized official

Name

Michelle Germaine Brown

Title

Provider, Health Educator

Phone

(336) 520-5485

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1518874841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 JESSIE LN",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129887",
            "telephone_number": "336-520-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 JESSIE LN",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129887",
            "telephone_number": "336-520-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIFIED BODY WELLSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "GERMAINE",
        "authorized_official_title_or_position": "PROVIDER, HEALTH EDUCATOR",
        "authorized_official_telephone_number": "336-520-5485"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Health & Wellness Coach in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.