| Wellness Collective Llc | |
|
3929 Airport Blvd Ste 2-204 Mobile AL 36609-2241 | |
| (251) 480-0070 | |
| (251) 480-0097 |
| Full Name | Wellness Collective Llc |
|---|---|
| Speciality | Counselor |
| Location | 3929 Airport Blvd Ste 2-204, Mobile, Alabama |
| Authorized Official Name and Position | Amy Collins (CEO) |
| Authorized Official Contact | 2516101618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Collective Llc Po Box 851807 Mobile AL 36685-1807 Ph: (251) 480-0070 | Wellness Collective Llc 3929 Airport Blvd Ste 2-204 Mobile AL 36609-2241 Ph: (251) 480-0070 |
| NPI Number | 1740984368 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 6800252628 |
|---|---|
| Medicare Enrollment ID | O20230828000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740984368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Christine Reno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013100502 PECOS PAC ID: 6608958434 Enrollment ID: I20080131000485 |
| Provider Name | Tina I Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396886867 PECOS PAC ID: 1759466568 Enrollment ID: I20080304000442 |
| Provider Name | Jeffrey John Pappas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124186671 PECOS PAC ID: 0840352324 Enrollment ID: I20081217000251 |
| Provider Name | Katherine A Cooper-lawton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235811399 PECOS PAC ID: 5890158372 Enrollment ID: I20230831000493 |
| Provider Name | Elizabeth Ann Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699101360 PECOS PAC ID: 7315395571 Enrollment ID: I20231128003050 |
| Provider Name | Rebekah Rayburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467967620 PECOS PAC ID: 1850741588 Enrollment ID: I20231221001137 |
| Provider Name | Emily Blankenship |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013334713 PECOS PAC ID: 3375996499 Enrollment ID: I20240125000502 |
| Provider Name | Justin Bender |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770511172 PECOS PAC ID: 9830532837 Enrollment ID: I20240207000113 |
| Provider Name | Ellen Odom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578588471 PECOS PAC ID: 9234572272 Enrollment ID: I20240207001315 |
| Provider Name | Julius M Ritchie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922039718 PECOS PAC ID: 3274976683 Enrollment ID: I20240213000301 |
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