Provider Demographics
NPI:1861107849
Name:ENNHEALTH, LLC
Entity type:Organization
Organization Name:ENNHEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LEAD PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NAGELEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:407-796-2406
Mailing Address - Street 1:1230 OAKLEY SEAVER DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1961
Mailing Address - Country:US
Mailing Address - Phone:407-796-2406
Mailing Address - Fax:407-604-0252
Practice Address - Street 1:1230 OAKLEY SEAVER DR STE 101
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1961
Practice Address - Country:US
Practice Address - Phone:407-796-2406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services