WAGS FOR WELLNESS LLC (NPI# 1144875220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144875220 |
| Entity Type | Organization |
| Organization Name | WAGS FOR WELLNESS LLC |
| Practice Address |
601 Brady St Ste 206 Davenport IA 52803-5251 |
| Practice Telephone | 5632651203 |
| Mailing Telephone | 5632651203 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | CHRISTINA M WASSENHOVE (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 5632651203 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAGS FOR WELLNESS LLC | 601 Brady St Ste 206, Davenport, IA 52803-5251 |
| Street Address |
601 BRADY ST STE 206 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177242 | Immanuel Iman Simmons | Counselor | 2195 E 53rd St, Davenport, IA 52807-2705 | 2020-09-01 |
| 1447864269 | Angela Snyder Therapy, Plc | Counselor | 1027 N Marquette St, Davenport, IA 52804-3761 | 2020-08-31 |
| 1255944526 | Laura K Heffernan | Counselor | 372 Arbor Lakes Dr, Davenport, FL 33896-8170 | 2020-08-26 |
| 1073130217 | Maritza Paula | Counselor | 164 Oxford Rd, Davenport, FL 33896-8891 | 2020-07-04 |
| 1952925992 | Jan Dumond LLC | Counselor | 4620 E 53rd St Ste 264, Davenport, IA 52807-3627 | 2020-06-05 |
| 1306300223 | Wellness First Counseling | Counselor | 1706 Brady St Ste 200, Davenport, IA 52803-4708 | 2019-01-24 |
| 1366939142 | Quill Counseling Plc | Counselor | 1820 E 54th St Ste A, Davenport, IA 52807-2797 | 2018-04-17 |
| 1932609070 | Samantha J Swanson | Counselor | 7307 Pacific St, Davenport, IA 52806-1250 | 2018-02-15 |
| 1578071213 | Jennifer Mejia | Counselor | 8020 Tuscany Way, Davenport, FL 33896-5444 | 2018-01-16 |
| 1366959470 | Kandis Rose Paskell | Counselor | 547 Morgan Street, Davenport, WA 99122 | 2018-01-10 |
| Find all providers in DAVENPORT | ||||
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| 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.