Organization
TOTAL WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ANN TYLER (PMHNP-BC)
(270) 982-0855
Entity
Organization
Contact information
Practice address
300 W DIXIE AVE STE 200, ELIZABETHTOWN, KY 42701-1765
(270) 982-0855
(270) 982-0866
Mailing address
300 W DIXIE AVE STE 200, ELIZABETHTOWN, KY 42701-1765
(270) 982-0855
(270) 982-0866
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100967850
—
KY
Enumeration date
02/05/2024
Last updated
11/05/2025
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