Embodyment Wellness Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EMBODYMENT WELLNESS CENTER

Practice address

3916 Highway 22
Suite 2
Mandeville, LA 70471-7306

Phone

(985) 237-0074

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Melissa Christner, R.N.

Title

President, Ceo

Phone

(985) 237-0074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1679838833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9028",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704709028",
            "telephone_number": "985-237-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 HIGHWAY 22",
            "address_2": "SUITE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717306",
            "telephone_number": "985-237-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODYMENT WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "CHRISTNER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "985-237-0074",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.