| The Woman At The Well, Inc | |
| 
					19 Court St Taunton MA 02780-3248  | |
| (508) 823-9355 | |
| (508) 823-9357 | 
| Full Name | The Woman At The Well, Inc | 
|---|---|
| Speciality | Counselor - Mental Health | 
| Location | 19 Court St, Taunton, Massachusetts | 
| Authorized Official Name and Position | Kelli J Riley (PROGRAM DIRECTOR) | 
| Authorized Official Contact | 5088239355 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| The Woman At The Well, Inc 19 Court St Taunton MA 02780-3248 Ph: (508) 823-9355  | The Woman At The Well, Inc 19 Court St Taunton MA 02780-3248 Ph: (508) 823-9355  | 
| NPI Number | 1265987580 | 
|---|---|
| Provider Enumeration Date | 08/16/2016 | 
| Last Update Date | 04/19/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265987580 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
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