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Contact Information

SHALEM WELLNESS LLC
5 W ALDER ST STE 342
WALLA WALLA, WA99362-2849
 Phone: 509-200-4864
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SHALEM WELLNESS LLC

NPI Number 1396565313
LBN Legal business name SHALEM WELLNESS LLC
Authorized official SARAH RUDE - (OWNER/PRESCRIBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2024
Last updated 10/15/2024 - More than a year 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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