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THE WELLNESS COLLECTIVE LTD NPI 1992435663


NPI Information

NPI: 1992435663
Provider Name: THE WELLNESS COLLECTIVE LTD
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2277878

Address:
10801 JOHNSTON RD
CHARLOTTE, NC
ZIP 28226
Phone: (704) 837-2859
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THE WELLNESS COLLECTIVE LTD is a community behavioral health in Charlotte, 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. THE WELLNESS COLLECTIVE LTD NPI is 1992435663. The provider is registered as an organization entity type.

The provider's business location address is:

10801 JOHNSTON RD
CHARLOTTE, NC
ZIP 28226-558
Phone: (704) 837-2859

The provider's authorized official is James E Wankel .
The authorized official title is Owner and has the following contact phone number (814) 366-7037.

The CLIA number assigned to this NPI record is 34D2277878 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2022 and was last updated on 10/4/2022.


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
1251B00000XCase ManagementNo
2251V00000XVoluntary or CharitableNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4251S00000XCommunity/Behavioral HealthYes

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: 5/5/2024

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