Healthcare Provider Details

I. General information

NPI: 1003416819
Provider Name (Legal Business Name): WH PSYCHOTHERAPY AND BILLING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2020
Last Update Date: 10/30/2020
Certification Date: 10/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO VIVI ABAJO SECTOR LA MULA KM
UTUADO PR
00641-0064
US

IV. Provider business mailing address

PO BOX 753
UTUADO PR
00641-0753
US

V. Phone/Fax

Practice location:
  • Phone: 939-231-1865
  • Fax:
Mailing address:
  • Phone: 939-231-1865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HECTOR COLON
Title or Position: PARTNER
Credential:
Phone: 939-231-1865