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Contact Information

HEALTH AND WELLNESS OF MI LLC
220 W CONGRESS ST # 513
DETROIT, MI48226-3289
 Phone: 702-683-9050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for HEALTH AND WELLNESS OF MI LLC

NPI # 1831036284
LBN Legal business name HEALTH AND WELLNESS OF MI LLC
Authorized official SHAKAUWRA SANDOVAL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2026
Last updated 05/04/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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