The Wellness Institute, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE WELLNESS INSTITUTE, LLC

Practice address

2120 Staples Mill Rd Ste 211
Richmond, VA 23230-2917

Phone

(804) 241-2324

NPI assigned

Jun 3, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Carla Randolph, LCSW, CSACNPI 1407302573

Title

Co-Owner

Phone

(804) 241-2324

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Carla Randolph, LCSW, CSAC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1407302573
  NPD (past) Authorized official

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1235753476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N 30TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236641",
            "telephone_number": "804-241-2324",
            "fax_number": "804-293-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 STAPLES MILL RD STE 211",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302917",
            "telephone_number": "804-241-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "804-241-2324",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.