Provider Demographics
NPI:1851019798
Name:ALLIES IN WELLNESS, LLC
Entity Type:Organization
Organization Name:ALLIES IN WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:THIPSINGH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, TCT
Authorized Official - Phone:321-258-9537
Mailing Address - Street 1:391 COMMERCE PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4209
Mailing Address - Country:US
Mailing Address - Phone:321-258-9537
Mailing Address - Fax:321-541-9135
Practice Address - Street 1:391 COMMERCE PKWY STE 220
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-4209
Practice Address - Country:US
Practice Address - Phone:321-258-9537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103651200Medicaid