# GREEN WELLNESS MASSAGE LLC

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

## Provider details

- **NPI number:** 1003785841
- **Authorized official:** ELIZABETH SOUTHAM LMT (OWNER/LICENSED MASSAGE THERAPIST)
- **Authorized official phone:** (717) 838-2600

## Contact information

- **Practice address:** 2855 HORSESHOE PIKE, CAMPBELLTOWN, PA 17010
- **Practice address phone:** (717) 838-2600
- **Mailing address:** PO BOX 494, CAMPBELLTOWN, PA 17010-0494
- **Mailing address phone:** (717) 838-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2025
- **Last updated:** 10/31/2025