WC Wellness LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME63070 Issued in FL

Legal business name

WC WELLNESS LLC

Practice address

600 SW 3Rd St
Suite 2270
Pompano Beach, FL 33060-6932

Phone

(954) 241-0303

NPI assigned

Jul 15, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Phil Detournillon

Title

Treasurer

Phone

(954) 241-0303

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1013147834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SW 3RD ST",
            "address_2": "SUITE 2270",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606932",
            "telephone_number": "954-241-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SW 3RD ST",
            "address_2": "SUITE 2270",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606932",
            "telephone_number": "954-241-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "DETOURNILLON",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "954-241-0303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME63070",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP1348922",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2053552",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2876402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Andrew Waskin, DO
• Megan Lynn Waskin, ARNP, FNP-BC
• Molly Waterway
• Niesha Dantrell Watkins, PHARMD
• Watson Health Group
• We Care Health Center
• Haley Nicole Wease
• Anne Webb
• Crystal Miller Webb
• Emily Nicole Weiner

• Psychiatry Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.