Wallflower Holistic Therapy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WALLFLOWER HOLISTIC THERAPY LLC

Practice address

57 Robinson St
Springville, AL 35146-4028

Phone

(205) 467-2500

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angeline Brianna Cornetto-Farms, LMT, C-MLD

Title

Owner

Phone

(205) 470-8226

Specialties & licenses 1

Addresses

Other names 1

• Wallflower Holistic Therapy LLC Other name

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1902500069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17062 US HIGHWAY 411",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351465558",
            "telephone_number": "205-470-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 ROBINSON ST",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351464028",
            "telephone_number": "205-467-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLFLOWER HOLISTIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "CORNETTO-FARMS",
        "authorized_official_first_name": "ANGELINE",
        "authorized_official_middle_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-470-8226",
        "authorized_official_credential": "LMT, C-MLD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallflower Holistic Therapy LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinic/Center in Springville, AL
• Providers in Springville, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.