Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X |
| NPI # | 1356270300 |
| LBN Legal business name | SELF INDULGENT LUXE: HEALTH & WELLNESS |
| Authorized official | JANAEL PALMER - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/15/2026 |
| Last updated | 05/15/2026 - About 3 weeks ago |
| Identifiers | n/a |
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