Healthcare Provider Details

I. General information

NPI: 1740104280
Provider Name (Legal Business Name): THE WELL CO THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

278 WOODSIDE LN
TALLMADGE OH
44278-3195
US

IV. Provider business mailing address

278 WOODSIDE LN
TALLMADGE OH
44278-3195
US

V. Phone/Fax

Practice location:
  • Phone: 615-579-8315
  • Fax:
Mailing address:
  • Phone: 615-579-8315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MR. MATTHEW ALAN KNABE
Title or Position: CEO/OWNER
Credential: LPCC-S
Phone: 615-579-8316