THE WELL FOR LIFE LLC NPI 1578031068

NPI Information

NPI: 1578031068
Provider Name: THE WELL FOR LIFE, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
833 22ND ST S STE B
ST PETERSBURG, FL
ZIP 33712
Phone: (727) 251-0743
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THE WELL FOR LIFE, LLC is a mental health counselor in St Petersburg, FL. THE WELL FOR LIFE, LLC NPI is 1578031068. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

833 22ND ST S STE B
ST PETERSBURG, FL
ZIP 33712-250
Phone: (727) 251-0743

The provider's authorized official is Ladonna Butler .
The authorized official title is President/ceo and has the following contact phone number (727) 251-0743.

The enumeration date for this NPI number is 11/2/2018 and was last updated on 11/2/2018.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	106H00000X	Marriage & Family Therapist		No
3	175T00000X	Peer Specialist		No
4	374J00000X	Doula		No
5	374K00000X	Religious Nonmedical Practitioner		No
6	101YM0800X	Counselor	Mental Health	Yes

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: 11/14/2023

NPI Synchronization or Removal

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