The Infinite Well, LLC
NPI #1578071486 in Lacey, Washington
Provider Information
- NPI Number
- 1578071486
- Entity Type
- Organization
- Organization Name
- The Infinite Well, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 12, 2018
- Last Updated
- Dec 6, 2021
Practice Location
- Address
- 581 MALIBU DR SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-1376
- Phone
- (360) 522-6156
Authorized Official
- Name
- MS. LENITA JOHNSON
- Title
- COUNSELOR
- Phone
- (360) 522-6156
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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