National Provider Identifier Database

SELAH WELLNESS CENTER LLC
Multi-Specialty


Contact Information

SELAH WELLNESS CENTER LLC
501 MAIN ST
SANDSTONE, MN55072-4410
Phone: 320-372-2312
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X
Family Medicine 207Q00000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Substance Abuse Disorder Rehabilitation Facility 324500000X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for SELAH WELLNESS CENTER LLC

NPI Number 1619774783
Legal business name
LBN
SELAH WELLNESS CENTER LLC
Authorized official NAOMI KOENIG - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/26/2025
Last updated 03/03/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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