Wellness Therapy Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0810004081 Issued in VA

Legal business name

WELLNESS THERAPY SERVICES, LLC

Doing business as

Nicole Surething

Practice address

1158 Professional Dr Ste N
Williamsburg, VA 23185-6618

Phone

(540) 693-0398

NPI assigned

Jun 15, 2016

Last updated

Jun 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Ann Surething, PH.D.NPI 1902200389

Title

Licensed Clinical Psychologist

Phone

(540) 693-0398

Specialties & licenses 1

Addresses

Other names 1

• Nicole Surething Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Surething, PH.D.

  • Psychologist
  • Williamsburg, VA
  • NPI 1902200389
  NPD Authorized official

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1306296819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 CEDARWOOD LN",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888007",
            "telephone_number": "540-693-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 PROFESSIONAL DR STE N",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856618",
            "telephone_number": "540-693-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "SURETHING",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "540-693-0398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0810004081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicole Surething",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nicole Surething",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Michelle Weibel, FNP-C
• Jeffrey Weidig, M.D.
• Diane Renee Weidner
• Carissa Weiser, AU.D.
• Jonathan Victor Weiss, LCSW
• Virginia Denise Wells, M.D.
• /Peter Damon Wendell, D.D.S.
• Dane Wendell, LPC
• Lauren Corinne Wenger, DPT
• Michelle Whalen

• Community/Behavioral Health Agency in Williamsburg, VA
• Providers in Williamsburg, 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 Jun 28, 2023; 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.