The Wellness Living Center, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0089 Issued in MN

Legal business name

THE WELLNESS LIVING CENTER, LLC

Practice address

10088 199TH St W
Lakeville, MN 55044-6266

Phone

(612) 598-3891

NPI assigned

May 11, 2010

Organization subpart

No

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

Authorized official

Name

Kathryn L Cashman, M.A., L.P.

Title

Executive Director

Phone

(612) 598-3891

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1770801003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10088 199TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446266",
            "telephone_number": "612-598-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10088 199TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446266",
            "telephone_number": "612-598-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "CASHMAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-598-3891",
        "authorized_official_credential": "M.A., L.P."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "0089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.