MEDICARE: EXISTENTIAL WELLNESS 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)

General Provider Information

NPI Number	:	1619638681
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXISTENTIAL WELLNESS LLC

Provider Business Mailing Address
First Line	:	20468 CHARTWELL CENTER DR STE N
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-9642
Country	:	US
Telephone Number	:	704-775-9211
Fax Number	:

Provider Business Practice Location Address
First Line	:	20468 CHARTWELL CENTER DR STE N
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-9642
Country	:	US
Telephone Number	:	704-997-8273
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	MR. JOSEPH ANTHONY SAGLIMBENI II
Credential	:	LCMHC-A, NCC
Telephone Number	:	704-775-9211

Provider Enumeration Date	:	01/03/2022
Last Update Date	:	07/20/2022

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Directions to “EXISTENTIAL WELLNESS LLC ” Practice Location

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