WELLNESS HEALTHCARE CLINICS. LLC (NPI# 1417432733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417432733 |
| Entity Type | Organization |
| Organization Name | WELLNESS HEALTHCARE CLINICS. LLC |
| Other Organization Name | WELLNESS HEALTHCARE CLINICS, LLC |
| Practice Address |
4660 Martin Luther King Jr Ave Sw Ste A2 Washington DC 20032-4933 |
| Mailing Address |
4660 Martin Luther King Jr Ave Sw Washington DC 20032-4933 |
| Practice Telephone | 2023180179 |
| Mailing Telephone | 2023180179 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | MS. URSULA BLAKE (CEO) |
| Authorized Official Telephone | 2023180179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 032323822 | 05 | |
| DC | 033102624 | 05 |
| Other Name | Type Code |
|---|---|
| Wellness Healthcare Clinics, LLC | Doing Business As Name - Organization |
| Street Address |
4660 MARTIN LUTHER KING JR AVE SW STE A2 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736747 | Jennifer Virgo Therapy, Pllc | Clinic/Center | 3902 14th St Nw Apt 621, Washington, DC 20011-5444 | 2020-09-28 |
| 1730799974 | Keisha Nicole Keith | Clinic/Center | 2625 Patricia Roberts Harris Pl Ne, Washington, DC 20018-1614 | 2020-08-03 |
| 1710503784 | Inner Banks Counseling Inc. | Clinic/Center | 305 Pine Ln, Washington, NC 27889-9674 | 2020-06-24 |
| 1023634573 | Cqc Healthcare, LLC | Clinic/Center | 1100 New Jersey Ave Se # 2145, Washington, DC 20003-3302 | 2020-06-21 |
| 1083237457 | Unity Health Care, Inc. | Clinic/Center | 1501 Rhode Island Ave Nw, Washington, DC 20005-5504 | 2020-05-20 |
| 1477174803 | Unity Health Care, Inc. | Clinic/Center | 10 I St Sw, Washington, DC 20024-4266 | 2020-04-27 |
| 1922627546 | Unity Health Care, Inc | Clinic/Center | 2305 New York Ave Ne, Washington, DC 20002-1905 | 2020-04-14 |
| 1033738653 | Unity Health Care, Inc | Clinic/Center | 1917 Bladensburg Rd Ne, Washington, DC 20002-1811 | 2020-04-14 |
| 1376162040 | Unity Health Care, Inc. | Clinic/Center | 1615 New York Ave Ne, Washington, DC 20002-1725 | 2020-04-13 |
| 1518427970 | Patrons Healthcare Services | Clinic/Center | 7826 Eastern Ave Nw Ste 412d, Washington, DC 20012-1324 | 2019-03-21 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on WELLNESS HEALTHCARE CLINICS. LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.