Organization
SORELLE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAVON PRENTICE APRN (CEO/NURSE PRACTITIONER)
(502) 767-8392
Entity
Organization
Contact information
Practice address
927 W MAIN ST, LOUISVILLE, KY 40202-2621
(502) 208-5787
(502) 690-4364
Mailing address
6803 FEGENBUSH LN, LOUISVILLE, KY 40228-1371
(502) 208-5787
(502) 690-4364
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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