Active NPI
Wellness Boutique, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Henrico, VA
National Provider Identifier
1134062482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebony Glover-Epps, LPC, NCC, LSATP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Roanoke, VA
- NPI 1770299877
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.