# STREAMS OF QI, LLC

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

## Provider details

- **NPI number:** 1184012122
- **Authorized official:** MS. SAMANTHA VON DER HEYDT LIC. AC., M.AC. (OWNER)
- **Authorized official phone:** (304) 536-5074

## Contact information

- **Practice address:** 100 EAST MAIN STREET, WHITE SULPHER SPRINGS, WV 24986-2212
- **Practice address phone:** (304) 536-5074
- **Practice address fax:** (304) 536-5112
- **Mailing address:** 100 EAST MAIN STREET, WHITE SULPHER SPRINGS, WV 24986-2212
- **Mailing address phone:** (304) 536-5074
- **Mailing address fax:** (304) 536-5112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 96158 | WV | Yes |

## Other

- **Enumeration date:** 12/29/2014
- **Last updated:** 12/29/2014