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NPI Code Detail

MEDICARE: THE WELL NE

MEDICARE: THE WELL NE
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
2101YA0400XAddiction (Substance Use Disorder) Counselor
3324500000XSubstance Abuse Rehabilitation FacilitySATC036NE

General Provider Information

NPI Number : 1720316391
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WELL NE
Provider Business Mailing Address
First Line : PO BOX 1392
Second Line :
City : NORFOLK
State : NE
Zip : 68702-1392
Country : US
Telephone Number : 402-379-3622
Fax Number : 402-644-4593
Provider Business Practice Location Address
First Line : 1203 S 8TH ST
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5875
Country : US
Telephone Number : 402-371-0220
Fax Number : 402-644-4593
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DONIELLE LARSON
Credential :
Telephone Number : 402-371-0220
Provider Enumeration Date : 11/19/2009
Last Update Date : 11/07/2025

Similar Medicare Providers

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Practice Location Address:
1203 S 8TH ST
NORFOLK, NE
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1215123823 — MR. TOBIN MARSHALL STREFF LIMHP, LADC
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1871872655 — MR. TERRY LEON DUFFY LADC
Practice Location Address:
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NORFOLK, NE
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1821364100 — DONIELLE J LARSON
Practice Location Address:
1203 S 8TH ST
NORFOLK, NE
68701-5875
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1144579640 — BETH A LARSON LIMHP
Practice Location Address:
1203 S 8TH ST
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Directions to “THE WELL NE ” Practice Location

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