Provider Demographics
NPI:1629738059
Name:THE WELLNESS SEED, PLLC
Entity Type:Organization
Organization Name:THE WELLNESS SEED, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCMHC
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:C
Authorized Official - Last Name:FIMBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:603-864-0141
Mailing Address - Street 1:5 NORTHERN BLVD STE 14
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2325
Mailing Address - Country:US
Mailing Address - Phone:603-864-0141
Mailing Address - Fax:603-417-6902
Practice Address - Street 1:5 NORTHERN BLVD STE 14
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2325
Practice Address - Country:US
Practice Address - Phone:603-864-0141
Practice Address - Fax:603-417-6902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty