Provider Demographics
NPI:1700757739
Name:EVERWELL THERAPY P.C.
Entity type:Organization
Organization Name:EVERWELL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRISTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:513-315-6411
Mailing Address - Street 1:431 30TH ST STE 140A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3307
Mailing Address - Country:US
Mailing Address - Phone:513-315-6411
Mailing Address - Fax:
Practice Address - Street 1:431 30TH ST STE 140A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3307
Practice Address - Country:US
Practice Address - Phone:513-315-6411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty