Organization
OUR WAY TO WELLNESS, LLC
Active
Other names
OUR WAY TO WELLNESS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OHARA TOMMIE MBA (CEO)
(305) 824-7513
Entity
Organization
Contact information
Practice address
5701 SHERIDAN ST, HOLLYWOOD, FL 33021-3241
(305) 824-7513
(954) 983-1158
Mailing address
5701 SHERIDAN ST, HOLLYWOOD, FL 33021-3241
(305) 824-7513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L2000395239
SELF SUPPLEMENTAL HEALTH PLAN
FL
Enumeration date
05/26/2021
Last updated
12/09/2021
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