Organization
NOVEL MIND AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLE MELVIN LOGAN CRNA (OWNER AND OPERATOR)
(850) 597-9732
Entity
Organization
Contact information
Practice address
1804 MICCOSUKEE COMMONS DR STE 210, TALLAHASSEE, FL 32308-5471
(850) 597-9732
(850) 999-7591
Mailing address
1804 MICCOSUKEE COMMONS DR STE 210, TALLAHASSEE, FL 32308-5471
(850) 597-9732
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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