Provider Demographics
NPI:1366243644
Name:VIRTUAL WELLNESS SOLUTIONS LLC
Entity type:Organization
Organization Name:VIRTUAL WELLNESS SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:719-469-2890
Mailing Address - Street 1:312 OTERO AVE
Mailing Address - Street 2:
Mailing Address - City:ORDWAY
Mailing Address - State:CO
Mailing Address - Zip Code:81063-1161
Mailing Address - Country:US
Mailing Address - Phone:719-469-2890
Mailing Address - Fax:
Practice Address - Street 1:312 OTERO AVE
Practice Address - Street 2:
Practice Address - City:ORDWAY
Practice Address - State:CO
Practice Address - Zip Code:81063-1161
Practice Address - Country:US
Practice Address - Phone:719-469-2890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service