Provider Demographics
NPI:1649005562
Name:WELLNESS 4 U LLC
Entity type:Organization
Organization Name:WELLNESS 4 U LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:ROCHALLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:THERAPIST
Authorized Official - Phone:541-257-7418
Mailing Address - Street 1:200 BUCKBOARD LN
Mailing Address - Street 2:
Mailing Address - City:CADDO MILLS
Mailing Address - State:TX
Mailing Address - Zip Code:75135-6594
Mailing Address - Country:US
Mailing Address - Phone:541-360-9534
Mailing Address - Fax:
Practice Address - Street 1:2950 NW TYLER AVE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-5259
Practice Address - Country:US
Practice Address - Phone:541-257-7418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health