Provider Demographics
NPI:1689409773
Name:TRULIFE HOLISTIC AND INTEGRATIVE WELLNESS LLC
Entity type:Organization
Organization Name:TRULIFE HOLISTIC AND INTEGRATIVE WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:TANGY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROINSON
Authorized Official - Suffix:
Authorized Official - Credentials:IHP
Authorized Official - Phone:839-223-2472
Mailing Address - Street 1:7812 SAGEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-5629
Mailing Address - Country:US
Mailing Address - Phone:839-223-2472
Mailing Address - Fax:
Practice Address - Street 1:7812 SAGEBROOK RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-5629
Practice Address - Country:US
Practice Address - Phone:839-223-2472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty