Provider Demographics
NPI:1558791822
Name:TOTAL WELLNESS CONSULTANTS, P.A.
Entity Type:Organization
Organization Name:TOTAL WELLNESS CONSULTANTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:714-679-6111
Mailing Address - Street 1:6060 N CENTRAL EXPY STE 460
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5280
Mailing Address - Country:US
Mailing Address - Phone:714-679-6111
Mailing Address - Fax:
Practice Address - Street 1:6060 N CENTRAL EXPY STE 460
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5280
Practice Address - Country:US
Practice Address - Phone:714-679-6111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36035103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty