Organization
TINY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MCCARTHY CLC, CBS (OWNER/OPERATOR)
(860) 940-3324
Entity
Organization
Contact information
Practice address
210 POLARIS ST APT A, SHEPPARD AFB, TX 76311-4012
(860) 940-3324
Mailing address
210 POLARIS ST APT A, SHEPPARD AFB, TX 76311-4012
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
225700000X
Massage Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
374J00000X
Doula
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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