Organization
WELLNESS NETWORKS, INC
Active
Other names
Wellness Networks
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA MAULDIN (PROVIDER ENROLLMENT MANAGER)
(414) 225-1611
Entity
Organization
Contact information
Practice address
64 VICTOR ST, HIGHLAND PARK, MI 48203-3128
(313) 446-9800
(313) 446-9839
Mailing address
DEPT CH 14583, PALATINE, IL 60055-0001
(866) 525-5484
(833) 394-4961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
6801017866
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
03/25/2026
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