Provider Demographics
NPI:1205699147
Name:IN WELLNESS, LLC
Entity type:Organization
Organization Name:IN WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:INGLE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:413-923-4837
Mailing Address - Street 1:351 PLEASANT ST
Mailing Address - Street 2:STE B #334
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060
Mailing Address - Country:US
Mailing Address - Phone:413-923-4837
Mailing Address - Fax:800-927-2750
Practice Address - Street 1:12 LAUREL PARK
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:413-923-4837
Practice Address - Fax:800-927-2750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health