EARTH REMEDY OPTIMAL WELLNESS LLC
NPI 1043092257
Health and Wellness Coach in Johnson City, TN

Active since October 23, 2023
417 GREENLEE RD, JOHNSON CITY, TN 37601(423) 302-0205(423) 220-8582 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Health and Wellness Coach

About EARTH REMEDY OPTIMAL WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Earth Remedy Optimal Wellness Llc, a provider established in Johnson City, Tennessee operating as a Health And Wellness Coach. The healthcare provider is registered in the NPI registry with number 1043092257 assigned on October 2023. The practitioner's primary taxonomy code is 171400000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Earth Remedy Optimal Wellness Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ubunibi-afia Agbenyaga Short Divine (Owner)

NPI
1043092257 Verify this NPI
Provider Name
EARTH REMEDY OPTIMAL WELLNESS LLC
Entity Type
Organization
Location Address
417 GREENLEE RD JOHNSON CITY, TN 37601
Location Phone
(423) 302-0205
Location Fax
(423) 220-8582
Mailing Address
417 GREENLEE RD JOHNSON CITY, TN 37601
Mailing Phone
(423) 302-0205
Mailing Fax
(423) 220-8285
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2023
Last Update Date
10-23-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health and Wellness Coach

Taxonomy Code
171400000X
Type
Other Service Providers
Taxonomy Description
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1172V00000XOther Service Providers

Community Health Worker

 
2332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

UBUNIBI-AFIA AGBENYAGA SHORT DIVINE

Authorized Official Title
OWNER
Authorized Official Phone
(423) 880-3621

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043092257, enumerated as an "organization" on October 23, 2023.

The provider is located at 417 GREENLEE RD JOHNSON CITY, TN 37601 and the phone number is (423) 302-0205.

Health and Wellness Coach with taxonomy code 171400000X.