Wellness Center for Healing LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

WELLNESS CENTER FOR HEALING LLC

Practice address

1990 N Federal Hwy Ste B
Pompano Beach, FL 33062-1032

Phone

(561) 252-9389

Fax

(954) 366-1430

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Samantha V Hewitt

Title

Ceo

Phone

(561) 252-9389

Specialties & licenses 5

Addresses

Other names 1

• Wellness Center for Healing LLC Former legal business name

Locations

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1518508100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 N FEDERAL HWY STE B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621032",
            "telephone_number": "561-252-9389",
            "fax_number": "954-366-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N FEDERAL HWY STE B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621032",
            "telephone_number": "561-252-9389",
            "fax_number": "954-366-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER FOR HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-252-9389"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Center for Healing LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ziona Weiss, M.A.
• Allison Joy Weissman, P.T.
• Randi Lynn Weitz, PSY.D.
• Daniel Patrick Welch, PHARM.D.
• Kelie H. R. Weller, LMT
• Wellness Physicians Group, LLC
• Wellness Rehab of South Florida Inc.
• Jordyn Danielle Wells
• Adrienne Lakate Wesley
• Shelby Eller Wesolowski, PA-C

• Clinical Neuropsychologist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.