Healthcare Provider Details
I. General information
NPI: 1376006395
Provider Name (Legal Business Name): WECARE TLC - KENNETH COPELAND MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/08/2019
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14355 MORRIS DIDO RD
NEWARK TX
76071-9501
US
IV. Provider business mailing address
999 DOUGLAS AVE STE 1119
ALTAMONTE SPRINGS FL
32714-2062
US
V. Phone/Fax
- Phone: 817-252-3680
- Fax:
- Phone: 407-562-1212
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AKILAH
L
BELLINGER
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential: RN
Phone: 689-331-8352