# SEDONA WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SEDONA WELLNESS, LLC
- **Other names:** Pagosa Wellness
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467982157
- **Legal business name:** SEDONA WELLNESS, LLC
- **Authorized official:** CINDY JOHNSON (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (970) 422-7161

## Contact information

- **Practice address:** 390 BOULDER DR STE 100, PAGOSA SPRINGS, CO 81147-9889
- **Practice address phone:** (970) 422-7161
- **Mailing address:** 390 BOULDER DR STE 100, PAGOSA SPRINGS, CO 81147-9889
- **Mailing address phone:** (970) 422-7161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2017
- **Last updated:** 07/21/2022