Organization · Type 2 NPI
Southern Ketamine and Wellness, LLC
Clinic/Center · Opelika, AL
NPI number
1104611722
Active
Practice location
2200 Gateway Dr Ste Aa
Opelika, AL 36801-6884
Mailing address
1932 Laurel Rd Ste 1B
Vestavia Hills, AL 35216-1939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Opelika
About NPI 1104611722
Southern Ketamine and Wellness, LLC's National Provider Identifier is 1104611722, issued on Apr 14, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Opelika, AL. The record was last updated on Apr 14, 2025.