Organization
THE WELL NE
Active
Organization
THE WELL NE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONIELLE LARSON (EXECUTIVE DIRECTOR)
(402) 371-0220
Entity
Organization
Contact information
Practice address
512 VERGES AVE, NORFOLK, NE 68701-4050
(402) 379-3622
(402) 644-4593
Mailing address
PO BOX 1392, NORFOLK, NE 68702-1392
(402) 379-3622
(402) 644-4593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
SATC036
NE
Other
Enumeration date
11/19/2009
Last updated
09/12/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up