5 Elements Coaching Llc - Clinic/Center in Hagerstown, Maryland | ProviderWire

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Clinic/Center
Maryland
Hagerstown
5 Elements Coaching Llc

Legal Business Name

5 Elements Coaching Llc

NPI Number

1952991986

NPI Type

Organization

Enumeration Date

01/23/2021

Specialties

(Taxonomies)

Name

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing

Location

Address

19813 LEITERSBURG PIKE # 193

226 N POTOMAC ST

City

Hagerstown

Hagerstown

State

MD

MD

Postal Code

21742-1445

21740-3813

Country

US

US

Telephone Number

(240) 406-4857

(240) 406-4857

Authorized Official

Name

Linnette Johnson

Title or Position

OWNER

Telephone Number

(240) 818-3064

Identifiers

Identifier

OTHER

Identifier State

Unknown

Identifier Issuer

OTHER

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

other

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

226 N Potomac StHagerstown, MD217403813US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/31/2021

Provider Address

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