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NPI Code Detail

MEDICARE: LINK WELLNESS OF VA LLC

MEDICARE: LINK WELLNESS OF VA LLC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1215884226
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINK WELLNESS OF VA LLC
Provider Business Mailing Address
First Line : 180 SYLVAN AVE STE 401
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-2512
Country : US
Telephone Number : 718-650-6230
Fax Number :
Provider Business Practice Location Address
First Line : 2125 HILLIARD RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-4600
Country : US
Telephone Number : 718-650-6230
Fax Number :
Authorized Official
Title or Position : COO
Name : GITTY WEITMAN
Credential :
Telephone Number : 347-841-8943
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “LINK WELLNESS OF VA LLC ” Practice Location

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