Wellife Counseling Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW10904 Issued in AZ

Legal business name

WELLIFE COUNSELING CENTER LLC

Practice address

1968 US Highway 89 South
Chino Valley, AZ 86323

Phone

(928) 636-7890

NPI assigned

Aug 24, 2007

Last updated

Apr 20, 2008By 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

Diana G Vaccaro, MSW LCSW

Title

Owner

Phone

(928) 636-7890

Specialties & licenses 1

Addresses

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.

• Diana Rubin, MSW, LCSW

  • Clinical Social Worker
  • Middletown, NY
  • NPI 1144304494
  NPD (past)

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1518150317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2863",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863232703",
            "telephone_number": "928-636-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 US HIGHWAY 89 SOUTH",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "86323",
            "telephone_number": "928-636-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLIFE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-636-7890",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW10904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Radaker Thomason
• Dianne A Tobin, FNP-C
• Town of Chino Valley
• Catherine R Verner, RN
• Walgreen Co (Walgreens #09571)
• West Yavapai Guidance Clinic, Inc (Polara Health)
• Anne Elizabeth Williams, OTR/L
• Barry C Willis, DDS
• Kay L Wood, M.D.
• Yavapai Mobility Center,LLC

• Community/Behavioral Health Agency in Chino Valley, AZ
• Providers in Chino Valley, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.