Wellness Clinical Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WELLNESS CLINICAL SERVICES, PLLC

Practice address

351 Wagoner Dr Ste 200
Fayetteville, NC 28303-4672

Phone

(910) 544-8194

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Iasia S Wells, LCSWNPI 1710389515

Title

Owner

Phone

(910) 544-8194

Specialties & licenses 1

Addresses

Other names 1

• Wellness Clinical Services, PLLC 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.

• Iasia Wells

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1710389515
  NPD Authorized official

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1457046534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034672",
            "telephone_number": "910-544-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WAGONER DR STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034672",
            "telephone_number": "910-544-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CLINICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "IASIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-544-8194",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Clinical Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Ann Weis
• Jermaine Welch
• Erin Welden, PA-C
• Well Point Urgent Care and Family Clinic Inc
• Wellcare Services, PLLC
• Shaquala Wells-Francis
• Gloria Shadell Wells, LCMHC
• Iasia Wells
• Laura Rose Wells, PA-C
• Matthew K Wells, M.D.

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.