| The Well Being Llc | |
|
401 Se 6th St Ste 110d Evansville IN 47713-1215 | |
| (812) 773-8988 | |
| (812) 203-8452 |
| Full Name | The Well Being Llc |
|---|---|
| Speciality | Social Worker |
| Location | 401 Se 6th St Ste 110d, Evansville, Indiana |
| Authorized Official Name and Position | Joel D Fehsenfeld (OWNER) |
| Authorized Official Contact | 8127738988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well Being Llc 401 Se 6th St Ste 110d Evansville IN 47713-1215 Ph: (812) 773-8988 | The Well Being Llc 401 Se 6th St Ste 110d Evansville IN 47713-1215 Ph: (812) 773-8988 |
| NPI Number | 1396330270 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 03/03/2021 |
| Certification Date | 03/03/2021 |
| Medicare PECOS PAC ID | 5395126197 |
|---|---|
| Medicare Enrollment ID | O20220725001697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396330270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joel D Fehsenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548701212 PECOS PAC ID: 2860777281 Enrollment ID: I20170328001029 |
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