MEDICARE: WELLNESS ARE USA INC

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	:	1629833942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS ARE USA INC

Provider Business Mailing Address
First Line	:	3220 LANTANA RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-2432
Country	:	US
Telephone Number	:	786-760-0135
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 LANTANA RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-2432
Country	:	US
Telephone Number	:	786-760-0135
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAYAMI HERNANDEZ
Credential	:
Telephone Number	:	786-760-0135

Provider Enumeration Date	:	02/15/2024
Last Update Date	:	03/12/2024

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Directions to “WELLNESS ARE USA INC ” Practice Location

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