Provider Demographics
NPI:1063384600
Name:INNER CALM WELLNESS PC
Entity type:Organization
Organization Name:INNER CALM WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEXIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-513-1256
Mailing Address - Street 1:501 S BROADWAY STE 102
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5067
Mailing Address - Country:US
Mailing Address - Phone:516-513-1256
Mailing Address - Fax:877-624-7856
Practice Address - Street 1:501 S BROADWAY STE 102
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5067
Practice Address - Country:US
Practice Address - Phone:516-513-1256
Practice Address - Fax:877-624-7856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty