THE FAMILY WELLNESS CENTER, LLC (NPI# 1902117815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902117815 |
| Entity Type | Organization |
| Organization Name | THE FAMILY WELLNESS CENTER, LLC |
| Practice Address |
7503 Queens Ct Suite 1 Germantown TN 38138-3875 |
| Practice Telephone | 9016727134 |
| Practice Fax Number | 9016727136 |
| Mailing Telephone | 9016727134 |
| Mailing Fax Number | 9016727136 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |
| Authorized Official Name | MRS. LEENA BOLTON (OWNER) |
| Authorized Official Telephone | 9016727134 |
| Authorized Official Credential | BA, CNHP, CBS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
7503 QUEENS CT SUITE 1 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780997395 | Leena Bolton | Specialist | 7503 Queens Ct, Suite 101, Germantown, TN 38138-3875 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467799767 | Germantown Private Psychiatry Pllc | Psychiatry & Neurology | 7505 Capital Dr, The Corporate Center, Germantown, TN 38138-3848 | 2013-01-08 |
| 1669591012 | Arif K. Mirza | Psychiatry & Neurology | 7505 Capital Dr, Germantown Private Psychiatry Pllc, Germantown, TN 38138 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959017 | Periscope Community Health Services | Psychiatry & Neurology | 167 Belle Forest Cir, Nashville, TN 37221-2103 | 2020-10-15 |
| 1295053767 | Annie Naik Gadiparthi | Psychiatry & Neurology | 848 Adams Avenue L400, Memphis, TN 38103-8503 | 2010-05-09 |
| 1063739415 | Wellsprings Psychiatry and Counseling Center, Pllc | Psychiatry & Neurology | 109 Holiday Ct Ste D10, Franklin, TN 37067-1311 | 2010-04-26 |
| 1619154440 | 17th Avenue Psychiatry | Psychiatry & Neurology | 1503 17th Ave S, Nashville, TN 37212-2805 | 2008-01-23 |
| 1093913576 | Michael Greer Md PC | Psychiatry & Neurology | 183 Fiddlers Ln, Kingston, TN 37763-4020 | 2007-07-06 |
| 1669579116 | Jonathan David Shaw | Psychiatry & Neurology | 2911 Brunswick Road, Memphis, TN 38133 | 2006-09-19 |
| 1609971134 | Richard A Colletti | Psychiatry & Neurology | 109 Holiday Ct., D10, Franklin, TN 37067 | 2006-09-13 |
| 1407963515 | Constance L Durbin | Psychiatry & Neurology | 1135 Cully Rd, Ste 100, Cordova, TN 38016 | 2006-08-24 |
| 1558380089 | Daniel Barton | Psychiatry & Neurology | 4535 Harding Pike, Suite # 102, Nashville, TN 37205-2120 | 2006-07-18 |
| 1760485866 | Paul David Clein | Psychiatry & Neurology | 2911 Brunswick Rd, Lakeside Hospital, Memphis, TN 38133 | 2005-05-23 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.