Healthcare Provider Details

I. General information

NPI: 1376420943
Provider Name (Legal Business Name): WELLNESS HOUSE COLLECTIVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 RIDGEMONT HTS
LAVALETTE WV
25535-9771
US

IV. Provider business mailing address

PO BOX 12
LAVALETTE WV
25535-0012
US

V. Phone/Fax

Practice location:
  • Phone: 304-840-6961
  • Fax:
Mailing address:
  • Phone: 304-840-6961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KRISHAWNA RENAE NAPIER
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: MSW, LICSW
Phone: 304-840-6961