Provider Demographics
NPI:1649468562
Name:THE FAMILY WELLNESS CENTER, PLLC
Entity type:Organization
Organization Name:THE FAMILY WELLNESS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/NC LICENSED MFT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:II
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:252-814-5464
Mailing Address - Street 1:7062 CHERRY RUN RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-8398
Mailing Address - Country:US
Mailing Address - Phone:252-814-5464
Mailing Address - Fax:252-948-3693
Practice Address - Street 1:409 W MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-4882
Practice Address - Country:US
Practice Address - Phone:252-948-3692
Practice Address - Fax:252-948-3693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1133106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty