Provider Demographics
NPI:1720845936
Name:ALCHEMY WELLNESS STUDIOS LLC
Entity type:Organization
Organization Name:ALCHEMY WELLNESS STUDIOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-275-8332
Mailing Address - Street 1:6 PETALUMA BLVD N STE A7
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-3027
Mailing Address - Country:US
Mailing Address - Phone:949-275-8332
Mailing Address - Fax:
Practice Address - Street 1:6 PETALUMA BLVD N STE A7
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-3027
Practice Address - Country:US
Practice Address - Phone:949-275-8332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder