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Organization
WELLCARE INC.
Active
Organization
WELLCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM CAMPBELL JR. (OWNER)
(719) 287-0420
Entity
Organization
Contact information
Practice address
5446 N ACADEMY BLVD STE 204, COLORADO SPRINGS, CO 80918-3669
(719) 598-5555
(719) 388-2030
Mailing address
5446 N ACADEMY BLVD, SUITE 204, COLORADO SPRINGS, CO 80918-3644
(719) 598-5555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/12/2016
Last updated
09/16/2021
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