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Contact Information

WELLNESS LOFT INC.
408 SOUTH 4TH ST.
EFFINGHAM, IL62401
 Phone: 217-347-5118
 Fax: 217-347-7609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for WELLNESS LOFT INC.

NPI # 1689926487
LBN Legal business name WELLNESS LOFT INC.
Authorized official AMY GUY - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2012
Last updated 01/28/2013 - About 13 years ago
Identifiers
IL License # 149011337
IL License # 180.006036
IL License # 180000748
IL License # 180002037
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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