MEDICARE: ELECHRIS HEALTH AND WELLNESS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	171400000X	Health & Wellness Coach
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1093640369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELECHRIS HEALTH AND WELLNESS PLLC

Provider Business Mailing Address
First Line	:	1852 BANKING ST # 29698
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408-7222
Country	:	US
Telephone Number	:	336-355-8550
Fax Number	:

Provider Business Practice Location Address
First Line	:	4030 WAKE FOREST RD STE 349
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-0010
Country	:	US
Telephone Number	:	336-355-8550
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	ELEANOR WILLIAMS
Credential	:	MSW, LCSW
Telephone Number	:	336-355-8550

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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