Provider Demographics
NPI:1972968410
Name:WELLNESS HEALTH RESOURCES GROUP, LLC
Entity Type:Organization
Organization Name:WELLNESS HEALTH RESOURCES GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARLINDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:RODRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-740-3787
Mailing Address - Street 1:5706 E MOCKINGBIRD LN STE 115
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5461
Mailing Address - Country:US
Mailing Address - Phone:214-308-2034
Mailing Address - Fax:
Practice Address - Street 1:5706 E MOCKINGBIRD LN STE 115
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5461
Practice Address - Country:US
Practice Address - Phone:214-308-2034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-29
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health