# TIME WELLNESS LLC

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

## Provider details

- **NPI number:** 1881306439
- **Authorized official:** DANEIL FESEFELDT (DOO)
- **Authorized official phone:** (954) 654-2350

## Contact information

- **Practice address:** 39 STEVENS HOLLOW RD, TAFT, TN 38488-5269
- **Practice address phone:** (423) 413-6195
- **Mailing address:** PO BOX 1328, NEWNAN, GA 30264-1328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2022
- **Last updated:** 07/06/2026
