Provider Demographics
NPI:1972101574
Name:THE WAY TO WELLNESS COUNSELING LLC
Entity Type:Organization
Organization Name:THE WAY TO WELLNESS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER CLINICAL SOCIAL WOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PURVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:251-234-1890
Mailing Address - Street 1:5321 HUMMINGBIRD DR W
Mailing Address - Street 2:
Mailing Address - City:SATSUMA
Mailing Address - State:AL
Mailing Address - Zip Code:36572-2436
Mailing Address - Country:US
Mailing Address - Phone:251-234-1890
Mailing Address - Fax:
Practice Address - Street 1:3762 MOFFETT RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36618-1215
Practice Address - Country:US
Practice Address - Phone:251-288-6164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty