Wellplace

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WELLPLACE

Practice address

1333 Brewery Park Blvd Ste 140
Detroit, MI 48207-4544

Phone

(313) 576-2500

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Julie Avant

Title

Chief Executive Officer

Phone

(313) 576-2500

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Peggy Lois Graham, LMSW

  • Social Worker
  • Detroit, MI
  • NPI 1982110466
  NPD (past)
• Wylene Carol Jones, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1396251963
  NPD (past)
• Kelly Anne Quinn, MA, LPC

  • Professional Counselor
  • Detroit, MI
  • NPI 1053826933
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1578612495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BREWERY PARK BLVD STE 140",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074544",
            "telephone_number": "313-576-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BREWERY PARK BLVD STE 140",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074544",
            "telephone_number": "313-576-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7309 S 180 W",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840471020",
            "country_code": "US",
            "telephone_number": "801-984-3324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLPLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "AVANT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "313-576-2500"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellbe Michigan PC
• Wellington Provider Group, PC
• Wellnite Medical Group PA
• Wellpath Pharma (Belle Isle Rx)
• Wellpath Pharma (Belle Isle RX LTC)
• Cassandra Wells
• Collin Ray Wells
• Darnice Michelle Wells, LPN
• Gordon Wells, C.R.N.A.
• Jacqueline Monzell Wells

• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.