Provider Demographics
NPI:1356013700
Name:THE WELL HEALING CENTER INC.
Entity Type:Organization
Organization Name:THE WELL HEALING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/V.P.
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-702-2576
Mailing Address - Street 1:402 ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2221
Mailing Address - Country:US
Mailing Address - Phone:949-702-2576
Mailing Address - Fax:
Practice Address - Street 1:1300 PLAZA CT N STE 204
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-1467
Practice Address - Country:US
Practice Address - Phone:720-722-1622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty