Provider Demographics
NPI:1013522432
Name:WELLBEING THERAPEUTIC SERVICES INC
Entity type:Organization
Organization Name:WELLBEING THERAPEUTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-504-9995
Mailing Address - Street 1:200 SOUTHDALE CTR # 22
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-7000
Mailing Address - Country:US
Mailing Address - Phone:612-504-9995
Mailing Address - Fax:612-746-3355
Practice Address - Street 1:200 SOUTHDALE CTR # 22
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-7000
Practice Address - Country:US
Practice Address - Phone:612-504-9995
Practice Address - Fax:612-746-3355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency