Organization
WELLNESS INNOVATIONS HEALTHCARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY PORTER LCASA (OFFICER)
(919) 522-2508
Entity
Organization
Contact information
Practice address
3650 ROGERS RD, SUITE 177, WAKE FOREST, NC 27587-9306
(919) 522-2508
Mailing address
3650 ROGERS RD, SUITE 177, WAKE FOREST, NC 27587-9306
(919) 522-2508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/30/2013
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