Provider Demographics
NPI:1164827473
Name:WELL INDEED
Entity Type:Organization
Organization Name:WELL INDEED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR ASSOCIATE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMELA
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHCA
Authorized Official - Phone:360-551-0595
Mailing Address - Street 1:PO BOX 4051
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-4051
Mailing Address - Country:US
Mailing Address - Phone:360-551-0595
Mailing Address - Fax:
Practice Address - Street 1:4236 GRAYBACK CIR APT D
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98315-9681
Practice Address - Country:US
Practice Address - Phone:360-551-0595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-29
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60396197251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health