Provider Demographics
NPI:1255126165
Name:THE HUB WELLNESS CENTER,PLLC
Entity type:Organization
Organization Name:THE HUB WELLNESS CENTER,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LCAS
Authorized Official - Phone:980-285-4347
Mailing Address - Street 1:1051 OBARR DR
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-6455
Mailing Address - Country:US
Mailing Address - Phone:980-285-4347
Mailing Address - Fax:704-842-3874
Practice Address - Street 1:310 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-4004
Practice Address - Country:US
Practice Address - Phone:980-285-4347
Practice Address - Fax:704-842-3874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty