Provider Demographics
NPI:1588035513
Name:WELLNESS WAY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:WELLNESS WAY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-425-0331
Mailing Address - Street 1:6 BEN LOMOND ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2829
Mailing Address - Country:US
Mailing Address - Phone:724-425-0223
Mailing Address - Fax:724-425-0331
Practice Address - Street 1:6 BEN LOMOND ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2829
Practice Address - Country:US
Practice Address - Phone:724-425-0223
Practice Address - Fax:724-425-0331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004105101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty