Provider Demographics
NPI:1013516665
Name:WELLBEING THERAPY PLLC
Entity Type:Organization
Organization Name:WELLBEING THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARINE
Authorized Official - Middle Name:LILA
Authorized Official - Last Name:JOHANNES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:772-678-0341
Mailing Address - Street 1:7750 OKEECHOBEE BLVD # 4-76
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2104
Mailing Address - Country:US
Mailing Address - Phone:772-678-0341
Mailing Address - Fax:
Practice Address - Street 1:7750 OKEECHOBEE BLVD # 4-76
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2104
Practice Address - Country:US
Practice Address - Phone:772-678-0341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health