| The Well Experience | |
|
1803 Philo Rd Urbana IL 61802-6015 | |
| (217) 530-0147 | |
| Not Available |
| Full Name | The Well Experience |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1803 Philo Rd, Urbana, Illinois |
| Authorized Official Name and Position | Stephanie R Cockrell (EXECUTIVE DIRECTOR, COUNSELOR) |
| Authorized Official Contact | 2175300147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well Experience 1803 Philo Rd Urbana IL 61802-6015 Ph: (217) 530-0147 | The Well Experience 1803 Philo Rd Urbana IL 61802-6015 Ph: (217) 530-0147 |
| NPI Number | 1164315511 |
|---|---|
| Provider Enumeration Date | 06/02/2025 |
| Last Update Date | 06/02/2025 |
| Certification Date | 06/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164315511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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