OrganizationActive
Earth Remedy Optimal Wellness LLC
NPI 1043092257 · Health & Wellness Coach · Johnson City, TN
Provider details
- NPI number
- 1043092257
- Entity type
- Organization
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Organization subpart
- No
- Authorized official
- Ubunibi-Afia Short, Owner(423) 880-3621
Specialties & taxonomies
Other Service Providers
- Community Health Worker172V00000X
Other Service Providers
- Customized Equipment (DME)332BC3200X
Suppliers
Practice location
417 Greenlee Rd
Johnson City, TN 37601-7064
Phone: (423) 302-0205
Fax: (423) 220-8582
Approximate (ZIP-level) locationGet directions
Mailing address
417 Greenlee Rd
Johnson City, TN 37601-7064
Other names (DBA / former)
- Doing business as
- Soul Journey Bliss Center
Registry dates
- Enumerated
- 2023-10-23
- Last updated
- 2023-10-23
- Certified
- 2023-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.