Provider Demographics
NPI:1336677848
Name:BY THE WELL COUNSELING, LLC
Entity Type:Organization
Organization Name:BY THE WELL COUNSELING, LLC
Other - Org Name:BY THE WELL COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, LICENSED COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:I
Authorized Official - Last Name:SAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:615-933-8232
Mailing Address - Street 1:211 DONELSON PIKE STE 6
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2914
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:211 DONELSON PIKE STE 6
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2914
Practice Address - Country:US
Practice Address - Phone:615-933-8232
Practice Address - Fax:615-205-1178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-28
Last Update Date:2017-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2534261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1164575197OtherNPI
TN1517293Medicaid