Provider Demographics
NPI:1619638681
Name:EXISTENTIAL WELLNESS LLC
Entity Type:Organization
Organization Name:EXISTENTIAL WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SAGLIMBENI
Authorized Official - Suffix:II
Authorized Official - Credentials:LCMHC-A, NCC
Authorized Official - Phone:704-775-9211
Mailing Address - Street 1:20468 CHARTWELL CENTER DR STE N
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-9642
Mailing Address - Country:US
Mailing Address - Phone:704-775-9211
Mailing Address - Fax:
Practice Address - Street 1:20468 CHARTWELL CENTER DR STE N
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-9642
Practice Address - Country:US
Practice Address - Phone:704-997-8273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)