| Wellness Behavioral Health Inc. | |
|
50 W Queens Way Suite 206 Hampton VA 23669-4279 | |
| (757) 228-5635 | |
| (757) 233-0327 |
| Full Name | Wellness Behavioral Health Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 50 W Queens Way, Hampton, Virginia |
| Authorized Official Name and Position | James Lassiter (EXECUTIVE/CLINICAL DIRECTOR) |
| Authorized Official Contact | 7572285635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Behavioral Health Inc. 522 S Independence Blvd Suite 201 Virginia Beach VA 23452-1149 Ph: (757) 228-5635 | Wellness Behavioral Health Inc. 50 W Queens Way Suite 206 Hampton VA 23669-4279 Ph: (757) 228-5635 |
| NPI Number | 1922402510 |
|---|---|
| Provider Enumeration Date | 10/10/2014 |
| Last Update Date | 10/20/2014 |
| Medicare PECOS PAC ID | 9830518075 |
|---|---|
| Medicare Enrollment ID | O20201007001844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922402510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2616 (Virginia) | Primary |
| Provider Name | James F Lassiter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851352496 PECOS PAC ID: 0244255511 Enrollment ID: I20051006000375 |
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