MEDICARE: THE WELLNESS CONNECTION

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1215542550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WELLNESS CONNECTION

Provider Business Mailing Address
First Line	:	203 MARSHALL DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-4347
Country	:	US
Telephone Number	:	412-901-3793
Fax Number	:

Provider Business Practice Location Address
First Line	:	11616 FRANKSTOWN RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-3319
Country	:	US
Telephone Number	:	724-257-1002
Fax Number	:

Authorized Official
Title or Position	:	OWNDER
Name	:	DIANNA RODRIGUEZ-COCHRAN
Credential	:	LPC
Telephone Number	:	412-901-3793

Provider Enumeration Date	:	09/14/2020
Last Update Date	:	09/14/2020

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Directions to “THE WELLNESS CONNECTION ” Practice Location

Language	Start Address	Practice Location

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