Organization
GENTOX WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILINDA MIDDLETON-BITTNER (CEO)
(812) 437-3784
Entity
Organization
Contact information
Practice address
1602 N FARES AVE, EVANSVILLE, IN 47711-3952
(812) 437-3784
Mailing address
1602 N FARES AVE, EVANSVILLE, IN 47711-3952
(812) 437-3784
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
05/07/2026
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