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NPI Code Detail

MEDICARE: THE WELL STUDIO THERAPY LLC

MEDICARE: THE WELL STUDIO THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1538004650
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WELL STUDIO THERAPY LLC
Provider Business Mailing Address
First Line : 1642 POWERS FERRY RD SE STE 100
Second Line :
City : MARIETTA
State : GA
Zip : 30067-9489
Country : US
Telephone Number : 404-905-3898
Fax Number :
Provider Business Practice Location Address
First Line : 1642 POWERS FERRY RD SE STE 100
Second Line :
City : MARIETTA
State : GA
Zip : 30067-9489
Country : US
Telephone Number : 404-905-3898
Fax Number :
Authorized Official
Title or Position : ORGANIZER
Name : SASHA ANDERSON
Credential :
Telephone Number : 404-905-3898
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/23/2026

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Directions to “THE WELL STUDIO THERAPY LLC ” Practice Location

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