Provider Demographics
NPI:1144961541
Name:THREE RIVERS WELLNESS
Entity type:Organization
Organization Name:THREE RIVERS WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNDAY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:541-410-5601
Mailing Address - Street 1:113 JACKSON LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-4006
Mailing Address - Country:US
Mailing Address - Phone:541-410-5601
Mailing Address - Fax:
Practice Address - Street 1:1531 HUNT CLUB BLVD STE 106
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-6096
Practice Address - Country:US
Practice Address - Phone:615-339-4249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)