=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508310210
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WECARE TLC - TWU EMPLOYEE FAMILY CLINIC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/10/2016
-----------------------------------------------------
Last Update Date | 11/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 107 INDUSTRIAL DR SUITE B
-----------------------------------------------------
City | SAINT MARYS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31558-4435
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 912-576-5359
-----------------------------------------------------
Fax | 912-576-5349
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 999 DOUGLAS AVE STE 1119
-----------------------------------------------------
City | ALTAMONTE SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32714-2062
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 689-331-8352
-----------------------------------------------------
Fax | 407-804-2971
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF CLINICAL SERVICES
-----------------------------------------------------
Name | AKILAH L BELLINGER
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 689-331-8352
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------