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NPI Code Detail

MEDICARE: WELLBEGINNINGS LLC

MEDICARE: WELLBEGINNINGS 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1477401909
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLBEGINNINGS LLC
Provider Business Mailing Address
First Line : 3201 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4697
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3201 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4697
Country : US
Telephone Number : 215-645-2084
Fax Number :
Authorized Official
Title or Position : LMFT
Name : HEATHER PHILLIPS
Credential :
Telephone Number : 215-645-2084
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “WELLBEGINNINGS LLC ” Practice Location

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