Provider Demographics
NPI:1003697798
Name:CARE & WELLNESS SOLUTIONS
Entity Type:Organization
Organization Name:CARE & WELLNESS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:JR
Authorized Official - Credentials:QMHP-A, QIDP, QDDP
Authorized Official - Phone:267-709-1186
Mailing Address - Street 1:8119 NASHUA DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-7622
Mailing Address - Country:US
Mailing Address - Phone:267-709-1186
Mailing Address - Fax:
Practice Address - Street 1:8119 NASHUA DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-7622
Practice Address - Country:US
Practice Address - Phone:267-709-1186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health