Provider Demographics
NPI:1942082466
Name:WELLVIEW SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:WELLVIEW SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINWOOD
Authorized Official - Middle Name:I
Authorized Official - Last Name:WIGGINS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:757-685-4666
Mailing Address - Street 1:2217 COURTNEY AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-2625
Mailing Address - Country:US
Mailing Address - Phone:757-685-4666
Mailing Address - Fax:757-257-8862
Practice Address - Street 1:2217 COURTNEY AVE APT 2
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2625
Practice Address - Country:US
Practice Address - Phone:757-685-4666
Practice Address - Fax:757-257-8862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health