| Wellness And Resilience Center Llc | |
|
51 Best St Fl 3 Dayton OH 45405-4906 | |
| (937) 673-6988 | |
| (937) 223-8638 |
| Full Name | Wellness And Resilience Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 51 Best St Fl 3, Dayton, Ohio |
| Authorized Official Name and Position | Kimberly D Jarvis (OWNER / EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9376736988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness And Resilience Center Llc 51 Best St Fl 3 Dayton OH 45405-4906 Ph: (937) 673-6988 | Wellness And Resilience Center Llc 51 Best St Fl 3 Dayton OH 45405-4906 Ph: (937) 673-6988 |
| NPI Number | 1063135507 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 6406200492 |
|---|---|
| Medicare Enrollment ID | O20230925002719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063135507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Keisha T Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588190896 PECOS PAC ID: 2365896362 Enrollment ID: I20230925002944 |
| Provider Name | Heather M Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811684178 PECOS PAC ID: 3870860687 Enrollment ID: I20230929001008 |
| Provider Name | Darreon Darrell Greer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447742895 PECOS PAC ID: 4981058989 Enrollment ID: I20240318003059 |
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