Provider Demographics
NPI:1871312900
Name:ANNABELLE FIELDS WELLNESS CENTER INC
Entity type:Organization
Organization Name:ANNABELLE FIELDS WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JAIMEE
Authorized Official - Middle Name:KENYATTA
Authorized Official - Last Name:COLVIN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:513-704-4788
Mailing Address - Street 1:3100 PERCH OVERLOOK SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30008-5977
Mailing Address - Country:US
Mailing Address - Phone:513-704-4788
Mailing Address - Fax:
Practice Address - Street 1:3100 PERCH OVERLOOK SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30008-5977
Practice Address - Country:US
Practice Address - Phone:513-704-4788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health