Provider Demographics
NPI:1699576157
Name:ANGELIC WELLNESS LLC
Entity type:Organization
Organization Name:ANGELIC WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:SHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:219-344-0675
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46391-0233
Mailing Address - Country:US
Mailing Address - Phone:219-344-0675
Mailing Address - Fax:
Practice Address - Street 1:156 S FLYNN RD STE B
Practice Address - Street 2:
Practice Address - City:WESTVILLE
Practice Address - State:IN
Practice Address - Zip Code:46391-9491
Practice Address - Country:US
Practice Address - Phone:219-344-0675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty