Provider Demographics
NPI:1558716647
Name:WELLNESS-WISE TUTORING AND CONSULTATION INC.
Entity Type:Organization
Organization Name:WELLNESS-WISE TUTORING AND CONSULTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:HYATT
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED, ND
Authorized Official - Phone:646-621-0331
Mailing Address - Street 1:220 ELZEY AVE
Mailing Address - Street 2:AVENUE
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-1529
Mailing Address - Country:US
Mailing Address - Phone:646-621-0331
Mailing Address - Fax:516-706-7045
Practice Address - Street 1:220 ELZEY AVE
Practice Address - Street 2:AVENUE
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-1529
Practice Address - Country:US
Practice Address - Phone:646-621-0331
Practice Address - Fax:516-706-7045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty