Provider Demographics
NPI:1265223804
Name:HEALTH WELL COUNSELING AND CONSULTATION, LLC
Entity type:Organization
Organization Name:HEALTH WELL COUNSELING AND CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NADOLPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDOU
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-545-7478
Mailing Address - Street 1:1 WASHINGTON MALL # 1232
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-2616
Mailing Address - Country:US
Mailing Address - Phone:617-413-8311
Mailing Address - Fax:617-314-8133
Practice Address - Street 1:1 WASHINGTON MALL # 1232
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-2616
Practice Address - Country:US
Practice Address - Phone:617-545-7478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health