Provider Demographics
NPI:1881229433
Name:BY THE HEALING WELL, PLLC
Entity Type:Organization
Organization Name:BY THE HEALING WELL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEBY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:719-337-4294
Mailing Address - Street 1:16441 CLANDESTINE CT
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-6126
Mailing Address - Country:US
Mailing Address - Phone:719-337-4294
Mailing Address - Fax:855-337-9079
Practice Address - Street 1:16441 CLANDESTINE CT
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-6126
Practice Address - Country:US
Practice Address - Phone:719-337-4294
Practice Address - Fax:855-337-9079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty