Well Watered Place LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WELL WATERED PLACE LLC

Doing business as

Well Watered Place Substance Abuse and Outpatient Treatment

Practice address

739 High St # 112
Portsmouth, VA 23704-3425

Phone

(757) 800-7301

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Jimeka L. Fitzgerald

Title

Owner/ Ceo

Phone

(757) 800-7301

Specialties & licenses 1

Addresses

Other names 1

• Well Watered Place Substance Abuse and Outpatient Treatment Doing business as

Locations

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1881475556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 HIGH ST # 112",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043425",
            "telephone_number": "757-800-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 HIGH ST # 112",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043425",
            "telephone_number": "757-800-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL WATERED PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JIMEKA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "757-800-7301",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Watered Place Substance Abuse and Outpatient Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Weisbrod
• Robert Charles Weishar, MD
• Adrian Weiss, PA-C
• Charles Patterson Weiss II
• Cody Welcher
• Amanda Lindsley Weller, MD
• Brian Wells, M.D.
• Jason Todd Wells
• Monica Wen, DDS
• Erica L Wenner, AU.D.

• Community/Behavioral Health Agency in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.