WATERSHED WELLNESS COLLECTIVE LLC
NPI 1033966940
Clinic/Center - Mental Health (Including Community Mental Health Center) in Madison, TN
About Watershed Wellness Collective Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WATERSHED WELLNESS COLLECTIVE LLC (NPI 1033966940) is a healthcare organization registered as a mental health (including community mental health center) in Madison, Tennessee and active in the NPI registry since April 2024. The organization lists Melisse Prusinski, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Watershed Wellness Collective LLC's NPI number?
The NPI number for Watershed Wellness Collective LLC is 1033966940. It was assigned to this organization in the NPPES registry on April 30, 2024.
Where is Watershed Wellness Collective LLC located?
Watershed Wellness Collective LLC is located at 412 Gallatin Pike S, Madison, TN 37115. The listed phone number is (310) 266-5044.
What is Watershed Wellness Collective LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Watershed Wellness Collective LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Watershed Wellness Collective Llc · NPI 1033966940
Mental Health (Including Community Mental Health Center) organization in Madison, Tennessee. Organization record, active in the CMS NPPES registry since April 30, 2024.
## Identity
- **NPI:** 1033966940 (Entity type: Organization)
- **Enumerated:** April 30, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Melisse Prusinski, OWNER/PROVIDER
## Practice location
- **Address:** 412 GALLATIN PIKE S, Madison, TN 37115-4009
- **Phone:** (310) 266-5044
## Record status
- **NPPES last updated:** April 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033966940) · Data from the CMS NPPES public registry.