Wellstone, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WELLSTONE, INC.

Practice address

4040 Memorial Pkwy SW
Huntsville, AL 35802-4364

Phone

(256) 705-6364

NPI assigned

Jun 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martika Harrell

Title

HR Credentialing

Phone

(256) 715-9978

Specialties & licenses 1

Addresses

Other names 1

• Wellstone CCBHC Other name

Tax ID family

Huntsville Madison County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Huntsville Madison County Mental Health Board, Inc.

  • Community/Behavioral Health Agency
  • Huntsville, AL
  • NPI 1780808808
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1538902473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 EAGLETREE LN SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016491",
            "telephone_number": "125-670-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024364",
            "telephone_number": "256-705-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "MARTIKA",
        "authorized_official_title_or_position": "HR CREDENTIALING",
        "authorized_official_telephone_number": "256-715-9978"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellstone CCBHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric Boyd Wells, M.D.
• Leslie Michelle Wells, PHARM D
• Sidney Alexander Wells, OTR
• Wellspace Play Therapy LLC
• Wellstone, Inc.
• Angela Marie Wendell
• Melissa Sue Wendell, CRNA
• Terry Dale Wendell II, CRNA
• Rebecca Wendland, LMT
• Kaitlyn Wendolowski, CRNP

• Community/Behavioral Health Agency in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Community/Behavioral Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.