Elements of Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELEMENTS OF WELLNESS LLC

Practice address

3005 E 11 Mile Rd Ste B
Warren, MI 48092-3523

Phone

(248) 599-1325

Fax

(248) 786-6082

NPI assigned

Nov 6, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Breann C D Dotstry

Title

Owner

Phone

(586) 453-7189

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mastermind Isa Masterpeace

  • Social Worker
  • Detroit, MI
  • NPI 1790130714
  NPD
• Monica Denise Sampson, LMSW

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1194261172
  NPD

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1336652973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 E 11 MILE RD STE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923523",
            "telephone_number": "248-599-1325",
            "fax_number": "248-786-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 E 11 MILE RD STE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923523",
            "telephone_number": "248-599-1325",
            "fax_number": "248-786-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS OF WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "DOTSTRY",
        "authorized_official_first_name": "BREANN",
        "authorized_official_middle_name": "C D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-453-7189",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "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 Warren, MI
• Providers in Warren, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.