Provider Demographics
NPI:1215240643
Name:CONSUMER WELLNESS SOLUTIONS, LLC
Entity type:Organization
Organization Name:CONSUMER WELLNESS SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR COMPLIANCE ANALYST/PARALEGAL
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-335-6786
Mailing Address - Street 1:15529 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1351
Mailing Address - Country:US
Mailing Address - Phone:425-626-1318
Mailing Address - Fax:888-588-7490
Practice Address - Street 1:17930 INTERNATIONAL BLVD STE 1000
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-4244
Practice Address - Country:US
Practice Address - Phone:425-626-1318
Practice Address - Fax:888-588-7490
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPTUM SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-14
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1089165Medicaid