# WELLNESS FOR LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720464241
- **Authorized official:** DR. LAURIE COVINGTON PSYD, LPC (CEO)
- **Authorized official phone:** (301) 204-0863

## Contact information

- **Practice address:** 6 FRAZIER WAY, SCOTT DEPOT, WV 25560-9018
- **Practice address phone:** (301) 204-0863
- **Mailing address:** 6 FRAZIER WAY, SCOTT DEPOT, WV 25560-9018
- **Mailing address phone:** (301) 204-0863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 1971 | WV | Yes |

## Other

- **Enumeration date:** 08/06/2015
- **Last updated:** 08/06/2015