Well Space Therapy, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WELL SPACE THERAPY, LLC

Practice address

318 N College St Ste E
Auburn, AL 36830-3815

Phone

(205) 546-8265

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Chauncey Hudson, LICSWNPI 1740864651

Title

Psychotherapist and Owner

Phone

(205) 546-8265

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Chauncey Johnson Hudson, LICSW

  • Clinical Social Worker
  • Birmingham, AL
  • NPI 1740864651
  NPD Authorized official

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1770286155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N COLLEGE ST STE E",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303815",
            "telephone_number": "205-546-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N COLLEGE ST STE E",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368303815",
            "telephone_number": "205-546-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL SPACE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "CHAUNCEY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST AND OWNER",
        "authorized_official_telephone_number": "205-546-8265",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Juliet Weaver, AU.D
• William A Webb, MD
• Lorenzo Alexander Webster, M.A., BCBA, LBA
• Christi Garner Weeks, DMD
• Laura Weldon, CBD
• Jennifer Wells- Marshall
• Michael Ryan Wells
• Emily Wheat, OTR/L
• Brianna Wheeler
• Thomas R. Whisenhunt, M.D. PHD

• Adult Mental Health Clinic/Center in Auburn, AL
• Providers in Auburn, AL by specialty
• Adult Mental Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.