Healthcare Provider Details

I. General information

NPI: 1336024157
Provider Name (Legal Business Name): COUNSELING AT THE WELL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 MOUNT PLEASANT RD
HERNANDO MS
38632-1607
US

IV. Provider business mailing address

1687 HILLSHIRE E
HERNANDO MS
38632-8878
US

V. Phone/Fax

Practice location:
  • Phone: 203-752-7355
  • Fax:
Mailing address:
  • Phone: 203-752-7355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE ROCCO-LAPINSKI
Title or Position: CLINICIAN
Credential: LCSW
Phone: 203-752-7355