Provider Demographics
NPI:1134948367
Name:WELLNESSNOW
Entity type:Organization
Organization Name:WELLNESSNOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MACGOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:541-261-1818
Mailing Address - Street 1:375 OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1064
Mailing Address - Country:US
Mailing Address - Phone:541-261-1818
Mailing Address - Fax:888-768-1114
Practice Address - Street 1:375 OXFORD ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1064
Practice Address - Country:US
Practice Address - Phone:541-261-1818
Practice Address - Fax:888-768-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty