Provider Demographics
NPI:1104006659
Name:WELL-BEING COUNSELING AND SERVICES CENTER, LLC
Entity Type:Organization
Organization Name:WELL-BEING COUNSELING AND SERVICES CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:218-340-7884
Mailing Address - Street 1:4756 MUNGER SHAW RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MN
Mailing Address - Zip Code:55779-9509
Mailing Address - Country:US
Mailing Address - Phone:218-340-7884
Mailing Address - Fax:866-406-5230
Practice Address - Street 1:8 N 2ND AVE E
Practice Address - Street 2:TEMPLE OPERA BUILDING, SUITE 309
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-2102
Practice Address - Country:US
Practice Address - Phone:218-340-7884
Practice Address - Fax:866-406-5230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13106251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health