Organization
ENM WELLNESS & MORE
Active
Parent organization
ENM WELLNESS & MORE
Other names
MERGING MINDS HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENM WELLNESS & MORE
Authorized official
ERICA MAHONE APRN (OWNER/PROVIDER)
(502) 314-1247
Entity
Organization
Contact information
Practice address
3438 TAYLOR BLVD, LOUISVILLE, KY 40215-2648
(502) 365-2340
(502) 365-3063
Mailing address
4205 NANEEN DR, LOUISVILLE, KY 40216-3973
(502) 314-1247
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100596910
—
KY
01
—
K319720
MEDICARE
KY
Enumeration date
11/16/2021
Last updated
11/16/2021
Update your record
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