Organization Active NPI

Wellnessa Healthcare, LLC

  • Community/Behavioral Health Agency
  • Hollywood, FL
National Provider Identifier
1073190724
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLNESSA HEALTHCARE, LLC
Practice address
3911 Hollywood Blvd Ste 106
Hollywood, FL 33021-6795
Phone
(855) 600-9355
NPI assigned
Mar 27, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Yeney Garcia, LMHC
Title
Clinical Director
Phone
(855) 600-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3911 Hollywood Blvd Ste 106
Hollywood, FL 33021-6795

Mailing address

3911 Hollywood Blvd Ste 106
Hollywood, FL 33021-6795

National Provider Directory

National Provider Directory

Locations

3911 Hollywood Blvd
Ste 106
Hollywood, FL 33021
Phone (312) 890-4340

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1073190724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 HOLLYWOOD BLVD STE 106",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 HOLLYWOOD BLVD STE 106",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216795",
            "telephone_number": "855-600-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "YENEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "855-600-9355",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.