Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Health & Wellness Coach |
171400000X | |||
Marriage & Family Therapist |
106H00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1588246128 |
| LBN Legal business name | STORK MENTALHEALTH & WELLNESS , LLC |
| Authorized official | RANARDA WRIGHT - (BUSINESS OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/23/2021 |
| Last updated | 07/03/2025 - About 11 months ago |
| Identifiers | n/a |
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