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PH WELLNESS
NPI 1083555411
Substance Abuse Rehabilitation Facility in Lebanon, TN

Active since April 01, 2026CLIA 44D2342852 · Waiver
4190 MURFREESBORO RD, LEBANON, TN 37090(954) 607-8075 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ph Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PH WELLNESS (NPI 1083555411) is a healthcare organization registered as a substance abuse rehabilitation facility in Lebanon, Tennessee and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Rosalind Armand, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083555411
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePH WELLNESS
Location Address4190 MURFREESBORO RDLebanon, TN 37090-2077
Mailing Address4190 Murfreesboro RdLebanon, TN 37090-2077 · (954) 607-8075
Phone(954) 607-8075
Organization SubpartNo
Authorized OfficialRosalind ArmandExecutive Director · (954) 607-8075
Enumeration DateApril 1, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1083555411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

4190 MURFREESBORO RD, Lebanon, TN 37090
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2342852

Ph Wellness Tennessee, LLC · Lebanon, TN
Active · expires Apr 27, 2028
CLIA Number44D2342852
Laboratory TypeDrug & Alcohol Treat Cent
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorJiseung Yoon
Laboratory Phone(909) 257-4684
Laboratory LocationPh Wellness Tennessee, LLC4190 Murfreesboro Road, Lebanon, TN 37090
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ph Wellness's NPI number?

The NPI number for Ph Wellness is 1083555411. It was assigned to this organization in the NPPES registry on April 1, 2026.

Where is Ph Wellness located?

Ph Wellness is located at 4190 Murfreesboro Rd, Lebanon, TN 37090. The listed phone number is (954) 607-8075.

What is Ph Wellness's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Ph Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2342852) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ph Wellness was last updated on April 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.