Provider Demographics
NPI:1023069010
Name:WELLNESS HEALTHCARE ASSOCIATES, INC
Entity type:Organization
Organization Name:WELLNESS HEALTHCARE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOOKS ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-712-3566
Mailing Address - Street 1:1035 BELLEVUE AVE
Mailing Address - Street 2:STE 401
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1854
Mailing Address - Country:US
Mailing Address - Phone:314-781-0361
Mailing Address - Fax:314-781-4970
Practice Address - Street 1:1035 BELLEVUE AVE
Practice Address - Street 2:STE 401
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1854
Practice Address - Country:US
Practice Address - Phone:314-781-0361
Practice Address - Fax:314-781-4970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty