Provider Demographics
NPI:1215510334
Name:WELLBEING COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:WELLBEING COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:E
Authorized Official - Last Name:PIPKIN
Authorized Official - Suffix:III
Authorized Official - Credentials:MS LPC
Authorized Official - Phone:203-767-2888
Mailing Address - Street 1:PO BOX 5036
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-0036
Mailing Address - Country:US
Mailing Address - Phone:203-767-2888
Mailing Address - Fax:
Practice Address - Street 1:695 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-1917
Practice Address - Country:US
Practice Address - Phone:203-767-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty