Provider Demographics
NPI:1598573768
Name:WELLAWARE COUNSELING
Entity type:Organization
Organization Name:WELLAWARE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KYARA
Authorized Official - Middle Name:PANULA
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-722-5440
Mailing Address - Street 1:4023 KENNETT PIKE STE 302
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2018
Mailing Address - Country:US
Mailing Address - Phone:302-722-5440
Mailing Address - Fax:
Practice Address - Street 1:702 ROCKLAND ROAD
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:DE
Practice Address - Zip Code:19732
Practice Address - Country:US
Practice Address - Phone:302-722-5440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty