| Two Roads Wellness Clinic, Llc | |
|
318 4th St Covington IN 47932-1274 | |
| (765) 231-4193 | |
| Not Available |
| Full Name | Two Roads Wellness Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 318 4th St, Covington, Indiana |
| Authorized Official Name and Position | Jessica Nemecz (OWNER) |
| Authorized Official Contact | 2176516801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Roads Wellness Clinic, Llc 3545 N Vermilion St Danville IL 61832-1100 Ph: (217) 651-6801 | Two Roads Wellness Clinic, Llc 318 4th St Covington IN 47932-1274 Ph: (765) 231-4193 |
| NPI Number | 1639927296 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Medicare PECOS PAC ID | 9638536220 |
|---|---|
| Medicare Enrollment ID | O20241029002565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639927296 | NPI | - | NPPES |
| Provider Name | Heather Nicole Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578190781 PECOS PAC ID: 0446608996 Enrollment ID: I20231122001867 |
| Provider Name | Jessica Irene Nemecz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407977135 PECOS PAC ID: 3072953926 Enrollment ID: I20241029002691 |
| Provider Name | Whitney Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275394736 PECOS PAC ID: 2961932066 Enrollment ID: I20250204003612 |
Happy, Joyous & Free Recovery Life Coaching, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1104 Liberty St, Covington, IN 47932 Phone: 765-585-5060 |