THE WELL THERAPY PLLC NPI 1194593632

NPI Information

  • NPI: 1194593632
  • Provider Name: THE WELL THERAPY, PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 335 BOUNDLESS LN
    CANTON, GA
    ZIP 30114
  • Phone: (941) 979-6575

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NPI Details

THE WELL THERAPY, PLLC is a mental health counselor in Canton, GA. THE WELL THERAPY, PLLC NPI is 1194593632. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

335 BOUNDLESS LN
CANTON, GA
ZIP 30114-381
Phone: (941) 979-6575

The provider's authorized official is Mitzi Brown .
The authorized official title is Owner and has the following contact phone number (941) 979-6575.

The enumeration date for this NPI number is 12/14/2023 and was last updated on 4/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11821567587OTHERNPI 1
2MH19437OTHERFLORIDAFLORIDA LICENSE
314665OTHERGEORGIALPC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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