Watershed Wellness Collective Llc

LBN: Watershed Wellness Collective Llc
Watershed Wellness Collective Llc is an health care organization with primary practice located at 412 Gallatin Pike S , Madison TN 37115-4009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Watershed Wellness Collective Llc can be contacted via phone (310) 266-5044, or through Prusinski, Melisse via phone (310) 266-5044.

Contact Information

Primary practice address
412 Gallatin Pike S Madison TN 37115-4009
Phone: (310) 266-5044
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prusinski, Melisse LMFT
Phone: (310) 266-5044

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1033966940
LBN Legal business name Watershed Wellness Collective Llc
DBA Doing business as
Authorized official Prusinski, Melisse LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2024
Last updated Apr 30th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers