Wellness Therapy Center Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
WELLNESS THERAPY CENTER LLC	1114653169	2022-07-30

The organization Wellness Therapy Center Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1114653169. Registration indicates Wellness Therapy Center Llc is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )

Other Names:

Wellness Therapy Center LLC

Entity Type	Organization

Provider Organization	WELLNESS THERAPY CENTER LLC
Practice Office Address	4707 107TH AVE N BROOKLYN PARK, MN US
Practice Office Telephone	6125167382
Mailing Address	4707 107TH AVE N BROOKLYN PARK, MN 554435801 US
Business Telephone	6125167382
Authorized Official	HANAAN YUSUF, PRESIDENT/ OWNE 6125167382

HPT Codes

Code	Practice	License No State
1041C0700X PRIMARY	Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker
193400000X SING		Group Code

OPI Codes

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