Wellness Clinical Services Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0318 Issued in NM

Legal business name

WELLNESS CLINICAL SERVICES INC.

Practice address

721 Bond St
Espanola, NM 87532-2729

Phone

(505) 753-5811

Fax

(505) 747-3210

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John George Lang, PHD

Title

Owner

Phone

(505) 753-5811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871799858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 BOND ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322729",
            "telephone_number": "505-753-5811",
            "fax_number": "505-747-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BOND ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322729",
            "telephone_number": "505-753-5811",
            "fax_number": "505-747-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CLINICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-753-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wayne Wallington, LPCC
• Gary A Ward, LMT
• Scarlette Allyn Waterman, BA, LSAA
• Stacie F Waters
• Terry Waters, CNP
• Amanda Wheat, D.O.M
• Jordan Whelan
• Juanita A Whisenhunt, LADAC
• Whole Self Recovery
• Molly Jean Wick, PA

• Community/Behavioral Health Agency in Espanola, NM
• Providers in Espanola, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• 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.