Provider Demographics
NPI:1093550618
Name:THE WELLNESS COLLECTIVE: COUNSELING & CONSULTING, LLC
Entity type:Organization
Organization Name:THE WELLNESS COLLECTIVE: COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:LAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:412-259-3885
Mailing Address - Street 1:3307 WASHINGTON ROAD
Mailing Address - Street 2:LEVEL 2
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317
Mailing Address - Country:US
Mailing Address - Phone:412-259-3885
Mailing Address - Fax:
Practice Address - Street 1:3307 WASHINGTON ROAD
Practice Address - Street 2:LEVEL 2
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317
Practice Address - Country:US
Practice Address - Phone:412-259-3885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty