Provider Demographics
NPI:1164013652
Name:WELL BEINGS, INC.
Entity Type:Organization
Organization Name:WELL BEINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:614-333-8138
Mailing Address - Street 1:4041 N HIGH ST STE 402D
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3253
Mailing Address - Country:US
Mailing Address - Phone:614-333-8138
Mailing Address - Fax:
Practice Address - Street 1:4041 N HIGH ST STE 402D
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3253
Practice Address - Country:US
Practice Address - Phone:614-333-8138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1023501160Medicaid