Healthcare Provider Details

I. General information

NPI: 1942007380
Provider Name (Legal Business Name): WELLNESS QUEST MENTAL HEALTH COUNSELING P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ALLENS CREEK RD STE 230
ROCHESTER NY
14618-3303
US

IV. Provider business mailing address

22 TAYLOR RD
HONEOYE FALLS NY
14472-9732
US

V. Phone/Fax

Practice location:
  • Phone: 516-652-8372
  • Fax:
Mailing address:
  • Phone: 516-652-8372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN BERT
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 516-652-8372