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NPI Code Detail

MEDICARE: WELLNESS ALLIANCE

MEDICARE: WELLNESS ALLIANCE
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 CounselorMH10847FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11285999037OTHERFLINDIVIDUAL NPI

General Provider Information

NPI Number : 1457867418
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS ALLIANCE
Provider Business Mailing Address
First Line : 550 N REO ST STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33609-1037
Country : US
Telephone Number : 727-599-3277
Fax Number :
Provider Business Practice Location Address
First Line : 550 N REO ST STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33609-1037
Country : US
Telephone Number : 727-599-3277
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. REBECCA SCHULTE
Credential : LMHC, NCC, CAP
Telephone Number : 727-599-3277
Provider Enumeration Date : 12/28/2017
Last Update Date : 04/30/2020

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Directions to “WELLNESS ALLIANCE ” Practice Location

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