Provider Demographics
NPI:1760964910
Name:WELLNESS FOR THE CULTURE LLC
Entity Type:Organization
Organization Name:WELLNESS FOR THE CULTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DODDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:413-426-6412
Mailing Address - Street 1:44 SUPERIOR AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01151-1836
Mailing Address - Country:US
Mailing Address - Phone:413-426-6412
Mailing Address - Fax:
Practice Address - Street 1:44 SUPERIOR AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01151-1836
Practice Address - Country:US
Practice Address - Phone:413-426-6412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)