MEDICARE: WELLNESS HOUSE COLLECTIVE, 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1376420943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS HOUSE COLLECTIVE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 12
Second Line	:
City	:	LAVALETTE
State	:	WV
Zip	:	25535-0012
Country	:	US
Telephone Number	:	304-840-6961
Fax Number	:

Provider Business Practice Location Address
First Line	:	5010 RIDGEMONT HTS
Second Line	:
City	:	LAVALETTE
State	:	WV
Zip	:	25535-9771
Country	:	US
Telephone Number	:	304-840-6961
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PSYCHOTHERAPIST
Name	:	KRISHAWNA RENAE NAPIER
Credential	:	MSW, LICSW
Telephone Number	:	304-840-6961

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/29/2025

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Directions to “WELLNESS HOUSE COLLECTIVE, LLC ” Practice Location

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