Provider Demographics
NPI:1427846815
Name:NEURO WELLNESS LLC
Entity type:Organization
Organization Name:NEURO WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:UY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-830-0668
Mailing Address - Street 1:328 DALE TERRACE CT APT B
Mailing Address - Street 2:
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-6107
Mailing Address - Country:US
Mailing Address - Phone:812-830-0668
Mailing Address - Fax:
Practice Address - Street 1:328 DALE TERRACE CT APT B
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-6107
Practice Address - Country:US
Practice Address - Phone:812-830-0668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Single Specialty