Provider Demographics
NPI:1083461354
Name:WILKEY WELLNESS
Entity type:Organization
Organization Name:WILKEY WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:270-929-7828
Mailing Address - Street 1:2529 VEACH RD
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-5513
Mailing Address - Country:US
Mailing Address - Phone:270-929-7828
Mailing Address - Fax:
Practice Address - Street 1:434 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:KY
Practice Address - Zip Code:42347-1121
Practice Address - Country:US
Practice Address - Phone:270-504-0068
Practice Address - Fax:270-298-8717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty