Provider Demographics
NPI:1083507917
Name:WELLNESS CONCEPTS UNLIMITED
Entity type:Organization
Organization Name:WELLNESS CONCEPTS UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:CHW
Authorized Official - Phone:832-661-1156
Mailing Address - Street 1:12623 MANSFIELD GLEN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1970
Mailing Address - Country:US
Mailing Address - Phone:832-661-1156
Mailing Address - Fax:
Practice Address - Street 1:12623 MANSFIELD GLEN CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1970
Practice Address - Country:US
Practice Address - Phone:832-661-1156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROKERS INTERNATIONAL OF TEXAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty