| Wellness Supports, Llc | |
|
8390 Six Forks Rd Suite 201 Raleigh NC 27615-3060 | |
| (919) 782-8730 | |
| (919) 782-8731 |
| Full Name | Wellness Supports, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8390 Six Forks Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Wendy Lynn Wenzel (PRESIDENT) |
| Authorized Official Contact | 9197828730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Supports, Llc 8390 Six Forks Rd Suite 201 Raleigh NC 27615-3060 Ph: (919) 782-8730 | Wellness Supports, Llc 8390 Six Forks Rd Suite 201 Raleigh NC 27615-3060 Ph: (919) 782-8730 |
| NPI Number | 1528138278 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 10/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528138278 | NPI | - | NPPES |
| 6005366 | Medicaid | NC | |
| 1528138278 | Other | NC | BLUE CROSS BLUE SHEILD |
| 8300341B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6005366 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | 8300341B (North Carolina) | Secondary |
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