Provider Demographics
NPI:1467169003
Name:NEURO WELLNESS SOLUTIONS INC.
Entity Type:Organization
Organization Name:NEURO WELLNESS SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CHIEF PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:925-413-3305
Mailing Address - Street 1:1807 SANTA RITA RD STE H213
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4779
Mailing Address - Country:US
Mailing Address - Phone:925-413-3305
Mailing Address - Fax:
Practice Address - Street 1:1807 SANTA RITA RD STE H213
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4779
Practice Address - Country:US
Practice Address - Phone:925-413-3305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)