Organization
WYS WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS XAHARA ALEXANDRIA MEGOD MA, LCPC, R-DMT, CPT (CEO)
(309) 252-0501
Entity
Organization
Contact information
Practice address
1515 W JACKSON ST, APT 8, MACOMB, IL 61455-3635
(309) 252-0501
Mailing address
1515 W JACKSON ST, APT. 8, MACOMB, IL 61455-3635
(309) 252-0501
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
225600000X
Dance Therapist
—
—
Other
Enumeration date
01/13/2023
Last updated
03/20/2026
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