Provider Demographics
NPI:1346087798
Name:THINK WELLNESS LLC
Entity type:Organization
Organization Name:THINK WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JOELLE
Authorized Official - Last Name:KOBLISKA
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:916-223-2047
Mailing Address - Street 1:489 N TACOMA ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:AR
Mailing Address - Zip Code:72730-4026
Mailing Address - Country:US
Mailing Address - Phone:916-223-2047
Mailing Address - Fax:
Practice Address - Street 1:489 N TACOMA ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:AR
Practice Address - Zip Code:72730-4026
Practice Address - Country:US
Practice Address - Phone:916-223-2047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-12
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health