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NPI Code Detail

MEDICARE: ALLIES IN WELLNESS, LLC

MEDICARE: ALLIES IN WELLNESS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1447812888
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIES IN WELLNESS, LLC
Provider Business Mailing Address
First Line : 1825 RIVERVIEW DR
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-4711
Country : US
Telephone Number : 321-258-9537
Fax Number : 321-541-9135
Provider Business Practice Location Address
First Line : 1825 RIVERVIEW DR
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-4711
Country : US
Telephone Number : 321-258-9537
Fax Number :
Authorized Official
Title or Position : OWNER
Name : REBECCA THIPSINGH
Credential : LCSW
Telephone Number : 321-258-9537
Provider Enumeration Date : 07/06/2019
Last Update Date : 04/17/2026

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