Provider Demographics
NPI:1225797830
Name:VILLAGE WELLNESS COUNSELING SERVICES
Entity Type:Organization
Organization Name:VILLAGE WELLNESS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEDDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-740-7205
Mailing Address - Street 1:75 ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-2005
Mailing Address - Country:US
Mailing Address - Phone:401-525-8236
Mailing Address - Fax:
Practice Address - Street 1:75 ARDMORE AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-2005
Practice Address - Country:US
Practice Address - Phone:401-525-8236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty