Provider Demographics
NPI:1457867418
Name:WELLNESS ALLIANCE
Entity Type:Organization
Organization Name:WELLNESS ALLIANCE
Other - Org Name:WELLNESS ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC, CAP
Authorized Official - Phone:727-599-3277
Mailing Address - Street 1:550 N REO ST STE 300
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-1037
Mailing Address - Country:US
Mailing Address - Phone:727-599-3277
Mailing Address - Fax:
Practice Address - Street 1:550 N REO ST STE 300
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1037
Practice Address - Country:US
Practice Address - Phone:727-599-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10847101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1285999037OtherINDIVIDUAL NPI