Provider Demographics
NPI:1730999780
Name:THE WELLNESS CONNECTION, PLLC
Entity type:Organization
Organization Name:THE WELLNESS CONNECTION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:BOLES
Authorized Official - Last Name:HAWKS
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, NCC
Authorized Official - Phone:336-710-1254
Mailing Address - Street 1:765 ROCK HILL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ARARAT
Mailing Address - State:NC
Mailing Address - Zip Code:27007-8308
Mailing Address - Country:US
Mailing Address - Phone:336-710-1254
Mailing Address - Fax:
Practice Address - Street 1:765 ROCK HILL CHURCH RD
Practice Address - Street 2:
Practice Address - City:ARARAT
Practice Address - State:NC
Practice Address - Zip Code:27007-8308
Practice Address - Country:US
Practice Address - Phone:336-710-1254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty