THE STUDENT WELLNESS CO. LLC NPI 1063371920

NPI Information

  • NPI: 1063371920
  • Provider Name: THE STUDENT WELLNESS CO. LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 220 S MAIN ST
    ROYAL OAK, MI
    ZIP 48067
  • Phone: (248) 671-6649

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NPI Details

THE STUDENT WELLNESS CO. LLC is a professional counselor in Royal Oak, MI. THE STUDENT WELLNESS CO. LLC NPI is 1063371920. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

220 S MAIN ST
ROYAL OAK, MI
ZIP 48067-676
Phone: (248) 671-6649

The provider's authorized official is Gabrielle Joy Wardlaw-pfaff .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (248) 850-0073.

The enumeration date for this NPI number is 1/16/2026 and was last updated on 1/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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