Organization
WELLNITE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HALANSKI (DIRECTOR)
(877) 644-6008
Entity
Organization
Contact information
Practice address
3157 GENTILLY BLVD, NEW ORLEANS, LA 70122-3872
(341) 888-7637
Mailing address
2261 MARKET ST # 4058, SAN FRANCISCO, CA 94114-1612
(855) 731-1410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
06/15/2023
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