Provider Demographics
NPI:1922301134
Name:WELLNESS COUNSELING LLC
Entity Type:Organization
Organization Name:WELLNESS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARKAS
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:614-397-7954
Mailing Address - Street 1:2929 KENNY ROAD
Mailing Address - Street 2:SUJITE 185
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2414
Mailing Address - Country:US
Mailing Address - Phone:614-397-7954
Mailing Address - Fax:614-262-6622
Practice Address - Street 1:2929 KENNY ROAD
Practice Address - Street 2:SUITE 185
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2414
Practice Address - Country:US
Practice Address - Phone:614-397-7954
Practice Address - Fax:614-262-6622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 06000771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty