MEDICARE: RAND COUNSELING AND 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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1891484127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAND COUNSELING AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	1500 CHESTNUT ST STE 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2700
Country	:	US
Telephone Number	:	267-225-0257
Fax Number	:

Provider Business Practice Location Address
First Line	:	4171 S MARQUIS WAY
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124
Country	:	US
Telephone Number	:	267-225-0257
Fax Number	:

Authorized Official
Title or Position	:	LCSW
Name	:	JULIE RAND
Credential	:
Telephone Number	:	412-367-9800

Provider Enumeration Date	:	05/03/2023
Last Update Date	:	05/03/2023

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