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Contact Information

ADDICTION WELLNESS CENTER IN LLC
202 E MAPLE ST
JEFFERSONVILLE, IN47130-3420
 Phone: 667-367-8357
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADDICTION WELLNESS CENTER IN LLC

NPI # 1720703382
LBN Legal business name ADDICTION WELLNESS CENTER IN LLC
Authorized official JESSIE COSTLEY - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2022
Last updated 02/28/2025 - 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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