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Organization
NATURAL WELLNESS CLINICS, LLC
Active
Organization
NATURAL WELLNESS CLINICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMIE DOUGLAS BENEFIELD JR. LHC (FOUNDING PARTNER/OWNER)
(904) 563-0332
Entity
Organization
Contact information
Practice address
3000 FERN VALLEY RD, LOUISVILLE, KY 40213-3522
(904) 563-0332
Mailing address
1468 PLAINFIELD AVE, ORANGE PARK, FL 32073-3923
(904) 563-0332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
07/29/2021
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