# WALLFLOWER HOLISTIC THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wallflower Holistic Therapy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902500069
- **Authorized official:** ANGELINE BRIANNA CORNETTO-FARMS LMT, C-MLD (OWNER)
- **Authorized official phone:** (205) 470-8226

## Contact information

- **Practice address:** 57 ROBINSON ST, SPRINGVILLE, AL 35146-4028
- **Practice address phone:** (205) 467-2500
- **Mailing address:** 17062 US HIGHWAY 411, SPRINGVILLE, AL 35146-5558
- **Mailing address phone:** (205) 470-8226

## Taxonomy

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

## Other

- **Enumeration date:** 03/30/2023
- **Last updated:** 03/30/2023