WELLOVATION LLC (NPI# 1477152809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477152809 |
| Entity Type | Organization |
| Organization Name | WELLOVATION LLC |
| Practice Address |
1220 W Trinity Mills Rd Carrollton TX 75006-1303 |
| Practice Telephone | 2107921943 |
| Practice Fax Number | 4695571518 |
| Mailing Telephone | 2107921943 |
| Mailing Fax Number | 4695571518 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | KENNETH OKONKWO (OPERATIONS) |
| Authorized Official Telephone | 2147737976 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLOVATION LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PSYCHOLOGY, COUNSELOR, PSYCHIATRY | 76536 | 01 |
| Street Address |
1220 W TRINITY MILLS RD |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75006-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1215422712 | Jennifer Rebecca Joseph | Nurse Anesthetist, Certified Registered | 1446 E Trinity Mills Rd, Carrollton, TX 75006 | 2018-06-27 |
| 1619479185 | Dedrie Marie Beck | Physical Therapy Assistant | 1000 W. Crosby Road, Carrollton, TX 75006 | 2018-03-01 |
| 1851892475 | Springcare Enterprises | Clinic/Center | 2840 Keller Springs Road, Suite 601, Carrollton, TX 75006 | 2018-02-28 |
| 1659892685 | Brandon Maughan | Social Worker | 1100 West Jackson Road, Carrollton, TX 75006 | 2017-06-29 |
| 1568997500 | Ad Precision Health Clinic, Pllc | Specialist | 2810 E. Trinity Mills Road, Suite 130, Carrollton, TX 75006 | 2017-04-27 |
| 1366992976 | Total Body Chiropractic | Chiropractor | 2201 Midway Rd Ste 107, Carrollton, TX 75006 | 2016-10-06 |
| 1679021042 | Keturah Health, LLC | Internal Medicine | 1420 Valwood Parkway, 170a, Carrollton, TX 75006 | 2016-09-14 |
| 1104202019 | Dazzling Smiles Dental | Dentist | 2145 North Josey Lane., Carrollton, TX 75006 | 2015-08-03 |
| 1336533595 | First Texas Hospital Carrollton LLC | General Acute Care Hospital | 1401 E. Trinity Mills Rd, Carrollton, TX 75006 | 2015-03-26 |
| Find all providers in zip 75006 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234678 | Faith Johnson | Counselor | 139 Newnan Rd, Carrollton, GA 30117-3442 | 2020-04-23 |
| 1104454016 | Karmen Kay Scott | Counselor | 20396 Cr 240, Carrollton, MO 64633-8151 | 2020-03-28 |
| 1396375341 | Princy Sebastian | Counselor | 4408 Emerald Dr, Carrollton, TX 75010-4514 | 2020-01-17 |
| 1528601010 | Tessa Isom | Counselor | 245 Second St Sw, Carrollton, OH 44615-1305 | 2019-10-28 |
| 1538713425 | Latoya Banton | Counselor | 85 Tyus Carrollton Rd, Carrollton, GA 30117-8254 | 2019-07-29 |
| 1053899757 | Ana Lyllian Guadalupe Menjivar-couch | Counselor | 840 Lake Connie Rd, Carrollton, GA 30116-9783 | 2018-08-03 |
| 1669992061 | Vanessa Fajardo | Counselor | 1925 E Belt Line Rd Ste 258, Carrollton, TX 75006-5801 | 2017-06-27 |
| 1710422936 | Sharon Gayle Counseling | Counselor | 4700 N Josey Ln, 4121, Carrollton, TX 75010-4693 | 2016-12-24 |
| 1255602322 | Leston Marshall Underwood | Counselor | 2016 Hearthstone Dr, Carrollton, TX 75010-4019 | 2012-01-22 |
| 1760772438 | Deborah Hudson Stewart | Counselor | 506 Tanner St, Carrollton, GA 30117-3304 | 2011-04-14 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75006 |
Please comment or provide details below to improve the information on WELLOVATION 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.