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Contact Information

TWO ROADS WELLNESS CLINIC, LLC
318 4TH ST
COVINGTON, IN47932-1274
 Phone: 765-231-4193
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
 

Counselor

101Y00000X
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for TWO ROADS WELLNESS CLINIC, LLC

NPI Number 1639927296
LBN Legal business name TWO ROADS WELLNESS CLINIC, LLC
Authorized official JESSICA NEMECZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2024
Last updated 02/04/2025 - 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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