Well With in My Space LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WELL WITH IN MY SPACE LLC

Practice address

1814 Beaumont St
Grand Prairie, TX 75051-1317

Phone

(214) 810-5368

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Taren Allen, LCSWNPI 1225670722

Title

Owner

Phone

(214) 810-5368

Specialties & licenses 4

Addresses

Other names 1

• Well Within My Space Other name

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taren Allen, LCSW

  • Clinical Social Worker
  • Grand Prairie, TX
  • NPI 1225670722
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1649932286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 BEAUMONT ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511317",
            "telephone_number": "214-810-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 BEAUMONT ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511317",
            "telephone_number": "214-810-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL WITH IN MY SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-810-5368",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://taren-allen.clientsecure.me",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1814 Beaumont St",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750511317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Well Within My Space",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Well Within My Space",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lakendra Shardae Weaver, LPC-A
• Mary Ann Weaver, MD
• Ronshawda Webb-Bias, LCSW
• Anne K Webb, O.D.
• Lindy Jane-Dokken Weiner, M.S.
• Well Within Drips, LLC
• Wellfort Corporation
• Miranda Efua Wellington, M.D.
• Wellness Horizon LLC
• Wellness Plus Counseling Services, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.