Provider Demographics
NPI:1194526285
Name:E4RTH ALLIED HEALTH &WELLNESS LLC
Entity type:Organization
Organization Name:E4RTH ALLIED HEALTH &WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO, FOUNDER, AND WELLNESS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LATERRA
Authorized Official - Middle Name:DEMETRIA MARIE
Authorized Official - Last Name:SLATE
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, PBT/ MLT (ASCP)
Authorized Official - Phone:614-305-5124
Mailing Address - Street 1:2606 HILLIARD ROME RD # V124
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-9468
Mailing Address - Country:US
Mailing Address - Phone:614-305-5124
Mailing Address - Fax:
Practice Address - Street 1:259 S OGDEN AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43204-3262
Practice Address - Country:US
Practice Address - Phone:614-305-5124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local