| The Infinite Well, Llc | |
|
581 Malibu Dr Se Lacey WA 98503-1376 | |
| (360) 522-6156 | |
| Not Available |
| Full Name | The Infinite Well, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 581 Malibu Dr Se, Lacey, Washington |
| Authorized Official Name and Position | Lenita Johnson (COUNSELOR) |
| Authorized Official Contact | 3605226156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Infinite Well, Llc 5815 Lacey Blvd Se # 8055 Lacey WA 98503-2459 Ph: (360) 522-6156 | The Infinite Well, Llc 581 Malibu Dr Se Lacey WA 98503-1376 Ph: (360) 522-6156 |
| NPI Number | 1578071486 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578071486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | MC60733448 (Washington) | Primary |
Marissa J Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4405 7th Ave Se Ste 200, Lacey, WA 98503 Phone: 360-878-6714 | |
Cain, Atwell & Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5709 Lacey Blvd Se, Suite 204, Lacey, WA 98503 Phone: 360-413-0046 Fax: 360-413-0586 | |
Aspire Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 677 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-820-2934 | |
Sharon Shadwell Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4405 7th Ave Se Ste 201, Lacey, WA 98503 Phone: 360-545-3527 | |
Nw Transformations Child And Family Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6402 57th Ct Se, Lacey, WA 98513 Phone: 360-970-8356 Fax: 360-539-3332 | |
Sound Somatic Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4533 13th Ave Se, Lacey, WA 98503 Phone: 360-930-9838 Fax: 888-460-0392 | |
Hgm Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4121 Arbor Dr Se, Lacey, WA 98503 Phone: 360-491-0366 |