Healthcare Provider Details

I. General information

NPI: 1568381275
Provider Name (Legal Business Name): WELLNESS CENTRES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 LASKIN RD STE 102
VIRGINIA BEACH VA
23451-6363
US

IV. Provider business mailing address

1080 LASKIN RD STE 102
VIRGINIA BEACH VA
23451-6363
US

V. Phone/Fax

Practice location:
  • Phone: 614-680-1323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: QIANA MASSINGILL
Title or Position: OPERATIONS DIRECTOR
Credential:
Phone: 216-315-3229