The Well Experience

NPI #1164315511 in Urbana, Illinois

Provider Information

NPI Number: 1164315511
Entity Type: Organization
Organization Name: The Well Experience
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 2, 2025
Last Updated: Jun 2, 2025

Practice Location

Address: 1803 PHILO RD
City: Urbana
State: Illinois
ZIP Code: 61802-6015
Phone: (217) 530-0147

Authorized Official

Name: DR. STEPHANIE R COCKRELL, PHD, LSW
Title: EXECUTIVE DIRECTOR, COUNSELOR
Phone: (217) 530-0147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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