Wellspace Play Therapy LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

WELLSPACE PLAY THERAPY LLC

Practice address

604 Davis Cir SW
Huntsville, AL 35801-5014

Phone

(256) 348-3297

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Felicia Powell, ALCNPI 1497437958

Title

Owner

Phone

(256) 348-3297

Specialties & licenses 3

Addresses

Practitioners 1

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

• Felicia Lea Powell

  • Mental Health Counselor
  • Huntsville, AL
  • NPI 1497437958
  NPD Authorized official

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1790553766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CARILLO LN",
            "city": "TONEY",
            "state": "AL",
            "postal_code": "357735729",
            "telephone_number": "256-348-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 DAVIS CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015014",
            "telephone_number": "256-348-3297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Carillo Ln",
            "address_purpose": "LOCATION",
            "city": "Toney",
            "state": "AL",
            "postal_code": "357735729",
            "country_code": "US",
            "telephone_number": "256-348-3297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPACE PLAY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-348-3297",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ALC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Everett Wells, M.D.
• Elina Urazakova Wells, M.D.
• Eric Boyd Wells, M.D.
• Leslie Michelle Wells, PHARM D
• Sidney Alexander Wells, OTR
• Wellstone, Inc.
• Wellstone, Inc.
• Angela Marie Wendell
• Melissa Sue Wendell, CRNA
• Terry Dale Wendell II, CRNA

• Adolescent and Children Mental Health Clinic/Center in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Adolescent and Children Mental Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.