# SYNERGY THERAPEUTICS HEALTH & WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003680547
- **Authorized official:** SHARELL J THAXTON DNP (DIRECT OWNER)
- **Authorized official phone:** (814) 919-9355

## Contact information

- **Practice address:** 8210 MACEDONIA BLVD, SUITE 3B-1010, MACEDONIA, OH 44056
- **Practice address phone:** (814) 919-9355
- **Mailing address:** 8210 MACEDONIA BLVD, SUITE 3B-1010, MACEDONIA, OH 44056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | NULL | — |
| 163WG0000X | General Practice Registered Nurse | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2023
- **Last updated:** 09/03/2024