MEDICARE: WELLNEST COUNSELING, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1215608658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNEST COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	13500 MIDWAY RD STE 333
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75244-5136
Country	:	US
Telephone Number	:	214-838-1412
Fax Number	:

Provider Business Practice Location Address
First Line	:	13500 MIDWAY RD STE 314
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5136
Country	:	US
Telephone Number	:	469-813-8096
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR, CEO
Name	:	MELISSA GRIFFING
Credential	:	LPC
Telephone Number	:	469-813-8096

Provider Enumeration Date	:	09/24/2021
Last Update Date	:	10/06/2021

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