# OMNIWELLNESS

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

## Provider details

- **NPI number:** 1780534149
- **Authorized official:** KAYLA COLEMAN NURSE PRACTITIONER (NURSE PRACTITIONER)
- **Authorized official phone:** (804) 596-2191

## Contact information

- **Practice address:** 440 MONTICELLO AVE STE 1802, NORFOLK, VA 23510-2670
- **Practice address phone:** (804) 596-2191
- **Practice address fax:** (804) 207-6570
- **Mailing address:** 440 MONTICELLO AVE STE 1802, NORFOLK, VA 23510-2670
- **Mailing address phone:** (804) 596-2191
- **Mailing address fax:** (804) 207-6570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2026
- **Last updated:** 02/03/2026