Healthcare Provider Details

I. General information

NPI: 1831731934
Provider Name (Legal Business Name): WELLNESS MATTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2019
Last Update Date: 04/09/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 PARK AVE N STE 201
PARK RAPIDS MN
56470-1856
US

IV. Provider business mailing address

PO BOX 957
PARK RAPIDS MN
56470-0957
US

V. Phone/Fax

Practice location:
  • Phone: 218-616-1276
  • Fax: 218-237-8135
Mailing address:
  • Phone: 218-255-3321
  • Fax: 218-237-8135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RITA JEAN ANDERSON
Title or Position: OWNER/THERAPIST
Credential: M.A.
Phone: 218-255-3366