Organization
TWO ROADS WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NEMECZ (OWNER)
(217) 651-6801
Entity
Organization
Contact information
Practice address
318 4TH ST, COVINGTON, IN 47932-1274
(765) 231-4193
Mailing address
3545 N VERMILION ST, DANVILLE, IL 61832-1100
(217) 651-6801
(217) 651-6802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
05/08/2024
Last updated
02/04/2025
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