Provider Demographics
NPI:1760876593
Name:THE WELLBEING INITIATIVE, LLC
Entity Type:Organization
Organization Name:THE WELLBEING INITIATIVE, LLC
Other - Org Name:THE ORCHARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWAGGER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:402-480-4191
Mailing Address - Street 1:221 SUN VALLEY BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68528-1576
Mailing Address - Country:US
Mailing Address - Phone:402-416-5830
Mailing Address - Fax:
Practice Address - Street 1:300 S 13TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2501
Practice Address - Country:US
Practice Address - Phone:402-480-4191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-18
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE377106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty