Provider Demographics
NPI:1588378244
Name:INFINITY HEALTH & WELLNESS SPA, LLC
Entity type:Organization
Organization Name:INFINITY HEALTH & WELLNESS SPA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAZITA
Authorized Official - Middle Name:LANELL
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:659-346-6855
Mailing Address - Street 1:5031 MEADOWLAKE CRST
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35020-6074
Mailing Address - Country:US
Mailing Address - Phone:205-567-0582
Mailing Address - Fax:
Practice Address - Street 1:5031 MEADOWLAKE CRST
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-6074
Practice Address - Country:US
Practice Address - Phone:659-346-6855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service