Organization
INTEGRATIVE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COMANECHI CLAYTON PMHNP-BC (OWNER)
(601) 627-0257
Entity
Organization
Contact information
Practice address
1821 HIGHWAY 39 N STE K, MERIDIAN, MS 39301-2725
(601) 627-0257
(601) 258-4682
Mailing address
1821 HIGHWAY 39 N STE K, MERIDIAN, MS 39301-2725
(601) 627-0257
(601) 258-4682
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
11/03/2023
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