WELLNESS WORK COUNSELING SERVICE PLLC


Address: 3016 Polar Ln Ste 207, Cedar Park, TX 78613-3039
Phone: 5125754671

WELLNESS WORK COUNSELING SERVICE PLLC (NPI# 1053911776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053911776
Entity Type Organization
Organization Name WELLNESS WORK COUNSELING SERVICE PLLC
Practice Address 3016 Polar Ln Ste 207
Cedar Park
TX 78613-3039
Practice Telephone 5125754671
Mailing Telephone 5125754671
Enumeration Date 2020-10-30
Last Update Date 2020-10-30
Authorized Official Name CARTELIA T KENNEDY (OWNER, MANAGER)
Authorized Official Telephone 5125754671
Authorized Official Credential LPC, NCC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 3016 POLAR LN STE 207
City CEDAR PARK
State TX
Zip Code 78613-3039

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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1992322903 Janae Kim Psychotherapy Clinic/Center 1320 Arrow Point Dr, Suite 501 #tw127, Cedar Park, TX 78613 2020-06-25
1659911154 Cedar Park Mindfulness Counseling Clinic/Center 3016 Polar Ln Ste 407, Cedar Park, TX 78613-3050 2020-01-13
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Competitor

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City CEDAR PARK
Zip Code 78613

Improve Information

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Dataset Information

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.

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