Wellformed AI

NPI 1710858006 · live from the CMS NPI Registry

Closed Gap Solutions LLC

Health & Wellness Coach in Huntsville, AL. National Provider Identifier 1710858006, active.

NPI record

NPI1710858006 Type 2 · organization
StatusActive
Primary specialtyHealth & Wellness Coach 171400000X
Practice location3311 Bob Wallace Ave Sw Ste 205, Huntsville, AL 35805
Practice phone256-690-3943
EnumeratedSeptember 17, 2025
Last updatedApril 30, 2026
Authorized officialMichael Sturdivant, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor101Y00000X—
Chiropractor111N00000X—
Clinic/Center, Multi-Specialty261QM1300X—
Nutritionist, Nutrition, Education133NN1002X—
Dietitian, Registered, Nutrition, Obesity and Weight Management133VN1201X—
Massage Therapist225700000X—
Health Educator174H00000X—
Case Manager/Care Coordinator171M00000X—
Health & Wellness Coach primary171400000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.