Organization
WESTERVILLE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JUNKIN (OFFICE ADMINISTRATOR)
(614) 682-2950
Entity
Organization
Contact information
Practice address
6141 BRAET RD, WESTERVILLE, OH 43081-8062
(740) 200-0826
Mailing address
6141 BRAET RD, WESTERVILLE, OH 43081-8062
(740) 200-0826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/05/2021
Last updated
04/19/2021
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