# NEW VISION HEALTH AND WELLNESS LLC

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

## Provider details

- **NPI number:** 1679341671
- **Authorized official:** LISA SULLIVAN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (440) 453-0754

## Contact information

- **Practice address:** 25701 N LAKELAND BLVD STE 207, EUCLID, OH 44132-2451
- **Practice address phone:** (216) 774-9183
- **Mailing address:** 6501 MARSOL RD, MAYFIELD HEIGHTS, OH 44124-3567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2023
- **Last updated:** 07/02/2024
