Organization Active NPI

Wellbeing Alliance LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1548032204
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLBEING ALLIANCE LLC
Practice address
1806 Summit Ave Ste 129
Richmond, VA 23230-4339
Phone
(202) 914-6038
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Crystal Fulwood
Title
Owner
Phone
(914) 619-8987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1806 Summit Ave Ste 129
Richmond, VA 23230-4339

Mailing address

22 Banner LN NW Apt 821
Washington, DC 20001-6115

Other names 1

  • Wellbeing Alliance of VA Doing business as

National Provider Directory

National Provider Directory

Locations

1806 Summit Ave
Ste 129
Richmond, VA 23230
Phone (202) 914-6038

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1548032204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BANNER LN NW APT 821",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200016115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SUMMIT AVE STE 129",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304339",
            "telephone_number": "202-914-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "FULWOOD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-619-8987"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellbeing Alliance of VA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellbeing Alliance of VA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.