# A2 INTEGRATIVE WELLNESS, LLC

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

## Provider details

- **NPI number:** 1588331573
- **Authorized official:** MR. DEMOND JOHNSON (PRESIDENT)
- **Authorized official phone:** (734) 222-5080

## Contact information

- **Practice address:** 2075 E WEST MAPLE RD STE B-208, COMMERCE TOWNSHIP, MI 48390-3816
- **Practice address phone:** (734) 222-5080
- **Mailing address:** 905 W EISENHOWER CIR STE 108, ANN ARBOR, MI 48103-6400
- **Mailing address phone:** (734) 222-5080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 102L00000X | Psychoanalyst | — | NULL | — |
| 102L00000X | Psychoanalyst | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 132700000X | Dietary Manager | — | NULL | — |
| 132700000X | Dietary Manager | — | — | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 171R00000X | Interpreter | — | NULL | — |
| 171R00000X | Interpreter | — | — | — |
| 1744P3200X | Prosthetics Case Management | — | NULL | — |
| 1744P3200X | Prosthetics Case Management | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 224P00000X | Prosthetist | — | NULL | — |
| 224P00000X | Prosthetist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 225800000X | Recreation Therapist | — | NULL | — |
| 225800000X | Recreation Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 08/26/2021
- **Last updated:** 09/27/2021