Beloved Wellness Center, Llc

LBN: Beloved Wellness Center, Llc
Beloved Wellness Center, Llc is an health care organization with primary practice located at 3535 30Th Ave Ste 207 , Kenosha WI 53144-1632. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Beloved Wellness Center, Llc can be contacted via phone (262) 496-8897, or through Pritchett, Dominique via phone (262) 496-8897.

Contact Information

Primary practice address
3535 30Th Ave Ste 207 Kenosha WI 53144-1632
Phone: (262) 496-8897
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pritchett, Dominique PSY.D., LCSW, CSAC
Phone: (262) 496-8897

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1881228559
LBN Legal business name Beloved Wellness Center, Llc
DBA Doing business as
Authorized official Pritchett, Dominique PSY.D., LCSW, CSAC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2020
Last updated Mar 16th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881228559 NPPES
Wisconsin MEDICAID 1356605323

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