Provider Demographics
NPI:1891532479
Name:EFFICIENT HEALTH AND WELLNESS CENTER LLC
Entity type:Organization
Organization Name:EFFICIENT HEALTH AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAH
Authorized Official - Middle Name:CLAVIA
Authorized Official - Last Name:TENDOH
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:470-556-4284
Mailing Address - Street 1:710 DACULA RD STE 4A
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-7014
Mailing Address - Country:US
Mailing Address - Phone:470-556-4284
Mailing Address - Fax:
Practice Address - Street 1:2451 MELTON COMMON DRIVE
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019
Practice Address - Country:US
Practice Address - Phone:470-556-4284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty