Organization Active NPI

Wellness Solutions Center, LLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1720117930
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLNESS SOLUTIONS CENTER, LLC
Practice address
1415 Holloway St
Suite C
Durham, NC 27703-2125
Phone
(919) 599-5361
Fax
(919) 530-5220
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Khadijah Salaam
Title
Executive Director
Phone
(919) 599-5361

Specialties & licenses 1

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

Addresses

Primary practice location

1415 Holloway St
Suite C
Durham, NC 27703-2125

Mailing address

PO Box 761
Durham, NC 27702-0761
Phone (919) 599-5361

National Provider Directory

National Provider Directory

Locations

1415 Holloway St
Ste C
Durham, NC 27703
Phone (919) 599-5361

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720117930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277020761",
            "telephone_number": "919-599-5361",
            "fax_number": "919-530-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HOLLOWAY ST",
            "address_2": "SUITE C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032125",
            "telephone_number": "919-599-5361",
            "fax_number": "919-530-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS SOLUTIONS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAAM",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-599-5361"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.