| Elite Wellness Care Llc | |
|
1903 Jefferson St Portsmouth VA 23704-5427 | |
| (757) 472-0400 | |
| Not Available |
| Full Name | Elite Wellness Care Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1903 Jefferson St, Portsmouth, Virginia |
| Authorized Official Name and Position | Francisca Ozoh (CEO) |
| Authorized Official Contact | 7574720400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Wellness Care Llc 1903 Jefferson St Portsmouth VA 23704-5427 Ph: (757) 472-0400 | Elite Wellness Care Llc 1903 Jefferson St Portsmouth VA 23704-5427 Ph: (757) 472-0400 |
| NPI Number | 1013704691 |
|---|---|
| Provider Enumeration Date | 04/24/2025 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013704691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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