Provider Demographics
NPI:1598592487
Name:FARRAR WELLNESS CO
Entity type:Organization
Organization Name:FARRAR WELLNESS CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-334-9146
Mailing Address - Street 1:287 LANDFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-3611
Mailing Address - Country:US
Mailing Address - Phone:630-334-9146
Mailing Address - Fax:
Practice Address - Street 1:287 LANDFIELD RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-3611
Practice Address - Country:US
Practice Address - Phone:630-334-9146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty