| Wellnance Therapy Llc | |
|
1730a S Waterside Dr Lanexa VA 23089-6132 | |
| (617) 999-5680 | |
| Not Available |
| Full Name | Wellnance Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1730a S Waterside Dr, Lanexa, Virginia |
| Authorized Official Name and Position | Desire Petrin (OWNER) |
| Authorized Official Contact | 6179995680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellnance Therapy Llc 1730a S Waterside Dr Lanexa VA 23089-6132 Ph: (617) 999-5680 | Wellnance Therapy Llc 1730a S Waterside Dr Lanexa VA 23089-6132 Ph: (617) 999-5680 |
| NPI Number | 1639951403 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639951403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |