# ENHANCED WELLNESS, PLLC

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

## Provider details

- **NPI number:** 1811098866
- **Authorized official:** MRS. KATHERINE FELICE BLANCO RHIA (CLINIC ADMIN)
- **Authorized official phone:** (601) 364-1132

## Contact information

- **Practice address:** 1855 LAKELAND DRIVE, STE M20, JACKSON, MS 39216
- **Practice address phone:** (601) 364-1132
- **Practice address fax:** (601) 364-1134
- **Mailing address:** 1855 LAKELAND DRIVE, STE M20, JACKSON, MS 39216
- **Mailing address phone:** (601) 364-1132
- **Mailing address fax:** (601) 364-1134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 10/07/2013