| Washington Wellness Institute, Llc | |
|
814 E 185th St Ste 300 Cleveland OH 44119-2775 | |
| (216) 302-8620 | |
| (216) 282-8596 |
| Full Name | Washington Wellness Institute, Llc |
|---|---|
| Speciality | Counselor |
| Location | 814 E 185th St Ste 300, Cleveland, Ohio |
| Authorized Official Name and Position | William Washington (OWNER) |
| Authorized Official Contact | 2163028620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Wellness Institute, Llc 814 E 185th St Ste 300 Cleveland OH 44119-2775 Ph: (216) 302-8620 | Washington Wellness Institute, Llc 814 E 185th St Ste 300 Cleveland OH 44119-2775 Ph: (216) 302-8620 |
| NPI Number | 1871155176 |
|---|---|
| Provider Enumeration Date | 07/08/2019 |
| Last Update Date | 07/08/2019 |
| Medicare PECOS PAC ID | 2062802200 |
|---|---|
| Medicare Enrollment ID | O20211202001896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871155176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Provider Name | India C Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629635941 PECOS PAC ID: 9335546712 Enrollment ID: I20210928001683 |
| Provider Name | William Clarence Washington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841656394 PECOS PAC ID: 3577960954 Enrollment ID: I20240210000542 |
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