Provider Demographics
NPI:1568279354
Name:WELLNESS COUNSELING AND EVALUATION, PLLC
Entity type:Organization
Organization Name:WELLNESS COUNSELING AND EVALUATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MALISSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:DURBIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:509-985-8068
Mailing Address - Street 1:127 OAKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SELAH
Mailing Address - State:WA
Mailing Address - Zip Code:98942-8503
Mailing Address - Country:US
Mailing Address - Phone:509-985-8068
Mailing Address - Fax:
Practice Address - Street 1:127 OAKWOOD LN
Practice Address - Street 2:
Practice Address - City:SELAH
Practice Address - State:WA
Practice Address - Zip Code:98942-8503
Practice Address - Country:US
Practice Address - Phone:509-985-8068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)