Provider Demographics
NPI:1790942548
Name:WELLNESS HIV AIDS SERVICES, INC.
Entity Type:Organization
Organization Name:WELLNESS HIV AIDS SERVICES, INC.
Other - Org Name:THE WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR FOR MENTAL HEALTH
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:810-232-0888
Mailing Address - Street 1:311 E COURT ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48502-1611
Mailing Address - Country:US
Mailing Address - Phone:810-232-0888
Mailing Address - Fax:810-232-2418
Practice Address - Street 1:311 E COURT ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48502-1611
Practice Address - Country:US
Practice Address - Phone:810-232-0888
Practice Address - Fax:810-232-2418
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WELLNESS HIV AIDS SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-20
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health