Provider Demographics
NPI:1992694590
Name:HEALING AT THE WELL WOMEN MENTORSHIP
Entity type:Organization
Organization Name:HEALING AT THE WELL WOMEN MENTORSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIFE COACH/MENTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-431-4764
Mailing Address - Street 1:132 KRAMER ST APT 3D
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2546
Mailing Address - Country:US
Mailing Address - Phone:929-431-4764
Mailing Address - Fax:
Practice Address - Street 1:132 KRAMER ST APT 3D
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-2546
Practice Address - Country:US
Practice Address - Phone:929-431-4764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty