Organization Active NPI

Wellness Boutique, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Henrico, VA
National Provider Identifier
1134062482
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WELLNESS BOUTIQUE, LLC
Practice address
2807 N Parham Rd Ste 320
Henrico, VA 23294-4458
Phone
(540) 525-6155
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Ebony Glover-Epps, LPC, NCC, LSATPNPI 1770299877
Title
Owner
Phone
(804) 762-0079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2807 N Parham Rd Ste 320
Henrico, VA 23294-4458

Mailing address

2807 N Parham Rd
Ste 320 #5991
Henrico, VA 23294
Phone (540) 525-6155

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1134062482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 N PARHAM RD",
            "address_2": "STE 320 #5991",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "540-525-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N PARHAM RD STE 320",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944458",
            "telephone_number": "540-525-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "GLOVER-EPPS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-762-0079",
        "authorized_official_credential": "LPC, NCC, LSATP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.