Provider Demographics
NPI:1922375484
Name:WELLNESS SOLUTIONS, LLC
Entity Type:Organization
Organization Name:WELLNESS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:713-594-0071
Mailing Address - Street 1:431 NURSERY RD
Mailing Address - Street 2:STE. A-500
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1985
Mailing Address - Country:US
Mailing Address - Phone:713-594-0071
Mailing Address - Fax:281-719-8557
Practice Address - Street 1:431 NURSERY RD
Practice Address - Street 2:STE. A-500
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1985
Practice Address - Country:US
Practice Address - Phone:713-594-0071
Practice Address - Fax:281-719-8557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63315101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty