Wellformed AI

NPI 1154746410 · live from the CMS NPI Registry

A Wellness Place LLC

Social Worker in Pittsburgh, PA. National Provider Identifier 1154746410, active.

NPI record

NPI1154746410 Type 2 · organization
StatusActive
Primary specialtySocial Worker 104100000X
Practice location8350 Frankstown Ave, Pittsburgh, PA 15221
Practice phone412-583-7505
Mailing address471 Shelbourne Dr, Pittsburgh, PA 15239
EnumeratedFebruary 24, 2014
Last updatedJuly 1, 2024
Authorized officialTimothy Gonzalez, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker primary104100000Xcw16629 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.