MEDICARE: THE WELLNESS COMPANY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251S00000X	Community/Behavioral Health Agency
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518815695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WELLNESS COMPANY

Provider Business Mailing Address
First Line	:	931 W OWENS AVE STE 155
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2583
Country	:	US
Telephone Number	:	702-659-0481
Fax Number	:	702-659-0481

Provider Business Practice Location Address
First Line	:	931 W OWENS AVE STE 155
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2583
Country	:	US
Telephone Number	:	702-659-0481
Fax Number	:	702-659-0481

Authorized Official
Title or Position	:	MANAGER
Name	:	GIOVONIE JOHNSON
Credential	:
Telephone Number	:	702-659-0481

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “THE WELLNESS COMPANY ” Practice Location

Language	Start Address	Practice Location

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