Provider Demographics
NPI:1710197132
Name:WELLNESS CONSULTANTS INTERNATIONAL PLLC
Entity Type:Organization
Organization Name:WELLNESS CONSULTANTS INTERNATIONAL PLLC
Other - Org Name:WCI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORESTER-MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-403-7229
Mailing Address - Street 1:3721 UNIVERSITY DR STE A
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6231
Mailing Address - Country:US
Mailing Address - Phone:919-403-7229
Mailing Address - Fax:
Practice Address - Street 1:3721 UNIVERSITY DR STE A
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6231
Practice Address - Country:US
Practice Address - Phone:919-403-7229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2649101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty