Provider Demographics
NPI:1194493221
Name:ANTHEA WELLNESS,PLLC
Entity type:Organization
Organization Name:ANTHEA WELLNESS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/CREDENTIALER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:KEEVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-493-6015
Mailing Address - Street 1:52A ERVIN ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3327
Mailing Address - Country:US
Mailing Address - Phone:505-570-3755
Mailing Address - Fax:
Practice Address - Street 1:52A ERVIN ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3327
Practice Address - Country:US
Practice Address - Phone:505-570-3755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANTHEA WELLNESS,PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty