Provider Demographics
NPI:1629554027
Name:WELLNESS COUNSELING PLLC
Entity Type:Organization
Organization Name:WELLNESS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BONGAERTS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:336-486-7306
Mailing Address - Street 1:5269 US HIGHWAY 158
Mailing Address - Street 2:
Mailing Address - City:ADVANCE
Mailing Address - State:NC
Mailing Address - Zip Code:27006-6905
Mailing Address - Country:US
Mailing Address - Phone:703-489-1303
Mailing Address - Fax:
Practice Address - Street 1:5269 US HIGHWAY 158
Practice Address - Street 2:
Practice Address - City:ADVANCE
Practice Address - State:NC
Practice Address - Zip Code:27006-6905
Practice Address - Country:US
Practice Address - Phone:336-486-7306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health