Organization
FAMILY HEALING AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROLYNN BELL-SCAGGS (FOUNDER AND OWNER)
(414) 502-9294
Entity
Organization
Contact information
Practice address
8081 W. CAPITOL DR., SUITE 6, MILWAUKEE, WI 53222-1706
(414) 367-8793
Mailing address
8081 W. CAPITOL DR., SUITE 6, MILWAUKEE, WI 53222-1706
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4999-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003256132
—
WI
Enumeration date
01/05/2017
Last updated
01/05/2017
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