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WELLNESS SUPPORTS LLC NPI 1528138278


NPI Information

NPI: 1528138278
Provider Name: WELLNESS SUPPORTS, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
8390 SIX FORKS RD
SUITE 201
RALEIGH, NC
ZIP 27615
Phone: (919) 782-8730
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WELLNESS SUPPORTS, LLC is a community behavioral health in Raleigh, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WELLNESS SUPPORTS, LLC NPI is 1528138278. The provider is registered as an organization entity type.

The provider's business location address is:

8390 SIX FORKS RD
SUITE 201
RALEIGH, NC
ZIP 27615-060
Phone: (919) 782-8730
Fax: (919) 782-8731

The provider's authorized official is Wendy Lynn Wenzel .
The authorized official title is President and has the following contact phone number (919) 782-8730.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 10/7/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health8300341BNORTH CAROLINANo
2251S00000XCommunity/Behavioral Health6005366NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16005366MEDICAIDNORTH CAROLINA
28300341BMEDICAIDNORTH CAROLINA
31528138278OTHERNORTH CAROLINABLUE CROSS BLUE SHEILD

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: 4/28/2024

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