Provider Demographics
NPI:1194170001
Name:WELLINGTON COUNSELING & ASSOCIATES INC
Entity type:Organization
Organization Name:WELLINGTON COUNSELING & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MYRLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HILAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-727-6605
Mailing Address - Street 1:12794 FOREST HILL BLVD STE 18
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4710
Mailing Address - Country:US
Mailing Address - Phone:561-795-1518
Mailing Address - Fax:
Practice Address - Street 1:7305 W SAMPLE RD STE 104
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2200
Practice Address - Country:US
Practice Address - Phone:561-795-1518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-28
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder