Provider Demographics
NPI:1437893203
Name:INFINITELY WELL HOLISTIC WELLNESS PLLC
Entity Type:Organization
Organization Name:INFINITELY WELL HOLISTIC WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, FNTP
Authorized Official - Phone:206-596-5980
Mailing Address - Street 1:3021 S WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-3766
Mailing Address - Country:US
Mailing Address - Phone:206-596-5980
Mailing Address - Fax:206-725-6247
Practice Address - Street 1:3021 S WILLOW ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-3766
Practice Address - Country:US
Practice Address - Phone:206-596-5980
Practice Address - Fax:206-725-6247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty