Provider Demographics
NPI:1316783004
Name:WELL WITHIN COUNSELING LLC
Entity type:Organization
Organization Name:WELL WITHIN COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MARTELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:401-261-0659
Mailing Address - Street 1:3558 SILVER LACE LN APT 31
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-3969
Mailing Address - Country:US
Mailing Address - Phone:401-261-0659
Mailing Address - Fax:
Practice Address - Street 1:2500 QUANTUM LAKES DR STE 203
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8323
Practice Address - Country:US
Practice Address - Phone:754-205-9604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty