Provider Demographics
NPI:1184312704
Name:WORKING WELLNESS SOLUTIONS L.L.C.
Entity type:Organization
Organization Name:WORKING WELLNESS SOLUTIONS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAVITA
Authorized Official - Middle Name:SOPHIA
Authorized Official - Last Name:MODEST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:313-926-1683
Mailing Address - Street 1:30957 LORRAINE AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-8014
Mailing Address - Country:US
Mailing Address - Phone:313-926-1683
Mailing Address - Fax:
Practice Address - Street 1:11443 E 13 MILE RD STE 401
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-6523
Practice Address - Country:US
Practice Address - Phone:313-335-7435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty