The Wellness Collective- a Mind Body and Soul Experience LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE WELLNESS COLLECTIVE- A MIND BODY AND SOUL EXPERIENCE LLC

Practice address

10046 198TH St
Hollis, NY 11423-3323

Phone

(347) 563-2252

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Amber Lovell

Title

Ceo & Founder

Phone

(347) 563-2252

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michele Renee Lovell, LCSW

  • Clinical Social Worker
  • Spring Valley, NY
  • NPI 1740444108
  NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1700501053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY STE 8044",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "347-563-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10046 198TH ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114233323",
            "telephone_number": "347-563-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS COLLECTIVE- A MIND BODY AND SOUL EXPERIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CEO & FOUNDER",
        "authorized_official_telephone_number": "347-563-2252",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usha Tandon, MD
• Stacy Taubenfeld, LMSW
• Kamyar D Tavakoli, M.D,
• Jacqueline Taylor, RN
• Taylored Homecare Services, LLC
• Sandra Thomas-Wilson
• Gaal Thomas, OTR/L
• Gilbert Thomas, LCSW-R
• Sharana Thomas
• Cheryl Patrice Thompson, LPN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hollis, NY
• Providers in Hollis, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.