Provider Demographics
NPI:1538682273
Name:ENCOMPASS COUNSELING, WELLNESS AND REHAB
Entity type:Organization
Organization Name:ENCOMPASS COUNSELING, WELLNESS AND REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-333-2735
Mailing Address - Street 1:96B TOMMY STALNAKER DRIVE
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-8030
Mailing Address - Country:US
Mailing Address - Phone:478-333-2735
Mailing Address - Fax:478-333-2744
Practice Address - Street 1:96B TOMMY STALNAKER DRIVE
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088
Practice Address - Country:US
Practice Address - Phone:478-333-2735
Practice Address - Fax:478-333-2744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty