Provider Demographics
NPI:1174700843
Name:WELLBEING UNLIMITED, INC.
Entity type:Organization
Organization Name:WELLBEING UNLIMITED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:H
Authorized Official - Last Name:KROTO
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:216-261-7887
Mailing Address - Street 1:250 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1407
Mailing Address - Country:US
Mailing Address - Phone:216-261-7887
Mailing Address - Fax:216-261-1655
Practice Address - Street 1:250 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-1407
Practice Address - Country:US
Practice Address - Phone:216-261-7887
Practice Address - Fax:216-261-1655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
OHI71401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty