MEDICARE: WELLNESS ONE PSYCHIATRY PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1184572661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS ONE PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	7040 LAREDO ST STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3044
Country	:	US
Telephone Number	:	724-875-1383
Fax Number	:

Provider Business Practice Location Address
First Line	:	7040 LAREDO ST STE D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-3044
Country	:	US
Telephone Number	:	724-875-1383
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SALLY DINGMAN
Credential	:	APRN, PMHNP-BC
Telephone Number	:	724-875-1383

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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