Wade Wellness Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WADE WELLNESS CENTER

Practice address

200 N 13TH St Ste 205
Corsicana, TX 75110-4680

Phone

(903) 872-5048

Fax

(903) 875-0572

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Daphnee Young

Title

Administrator

Phone

(903) 872-5048

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Karol Wade Wright, LPC

  • Counselor
  • Corsicana, TX
  • NPI 1588615256
  NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1376201798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 13TH ST STE 205",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104680",
            "telephone_number": "903-872-5048",
            "fax_number": "903-875-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 13TH ST STE 205",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104680",
            "telephone_number": "903-872-5048",
            "fax_number": "903-875-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAPHNEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-872-5048"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wadewellnesscenter@sbcglobal.net",
            "affiliation": "N",
            "endpointDescription": "wadewellnesscenter@sbcglobal.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Not applicable",
            "address_1": "200 N 13th St Ste 205",
            "city": "Corsicana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751104680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Velasquez, COTA
• Lori Ann Vicsek, FNP
• Charles Eric Vinson, M.D.
• Catherine Garcia Vitug, FNP
• Joleen Michelle Volz, PAC
• Gary Waggoner
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LLC
• Walgreen Co.
• Gwendolyn Lee Walker, RPH

• Professional Counselor in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.