Provider Demographics
NPI:1043093495
Name:WELL BEINGS THERAPY
Entity Type:Organization
Organization Name:WELL BEINGS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARMIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPC
Authorized Official - Phone:580-606-3094
Mailing Address - Street 1:PO BOX 524
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73534-0524
Mailing Address - Country:US
Mailing Address - Phone:580-606-3094
Mailing Address - Fax:580-786-0269
Practice Address - Street 1:1313 W ASH AVE STE 103
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4357
Practice Address - Country:US
Practice Address - Phone:580-606-3094
Practice Address - Fax:580-786-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty