Wellnance Therapy Llc | |
1730a S Waterside Dr Lanexa VA 23089-6132 | |
(617) 999-5680 | |
Not Available |
Full Name | Wellnance Therapy Llc |
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Speciality | Counselor - Mental Health |
Location | 1730a S Waterside Dr, Lanexa, Virginia |
Authorized Official Name and Position | Desire Petrin (OWNER) |
Authorized Official Contact | 6179995680 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wellnance Therapy Llc 1730a S Waterside Dr Lanexa VA 23089-6132 Ph: (617) 999-5680 | Wellnance Therapy Llc 1730a S Waterside Dr Lanexa VA 23089-6132 Ph: (617) 999-5680 |
NPI Number | 1639951403 |
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Provider Enumeration Date | 10/17/2023 |
Last Update Date | 10/17/2023 |
Certification Date | 10/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639951403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |