Healthcare Provider Details

I. General information

NPI: 1356157838
Provider Name (Legal Business Name): WELLNESS PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1658 COLE BLVD STE 210
LAKEWOOD CO
80401-3304
US

IV. Provider business mailing address

1658 COLE BLVD STE 210
LAKEWOOD CO
80401-3304
US

V. Phone/Fax

Practice location:
  • Phone: 303-747-5051
  • Fax: 724-204-1648
Mailing address:
  • Phone: 303-747-5051
  • Fax: 724-204-1648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: AMANDA FARRELL
Title or Position: OWNER, PMHNP
Credential: NP
Phone: 303-747-5051