Provider Demographics
NPI:1912514068
Name:WML WELLNESS LLC
Entity Type:Organization
Organization Name:WML WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUBINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-334-8512
Mailing Address - Street 1:201 MEARLEAF PL
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-6118
Mailing Address - Country:US
Mailing Address - Phone:917-334-8512
Mailing Address - Fax:
Practice Address - Street 1:201 MEARLEAF PL
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-6118
Practice Address - Country:US
Practice Address - Phone:917-334-8512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE